[0001] The invention relates to compounds of the formula I

in which
- R1 and R2
- are each, independently of one another, H, OH, OR4, SR4, SOR4, SO2R4 or Hal, where R1 and R2 together may alterna- tively be -O-CH2-O-,
- R3
- is Hal, OH, OA, NO2, NH2, NHA1, NA1A2, CN, COOH, COOA1, CONH2, CONHA1, CONA1A2, NHCOA1, NHSO2A1, NHCOOA1,


or

- R4
- is A1, cycloalkyl having from 3 to 7 carbon atoms, alkylene- cycloalkyl having from 4 to
8 carbon atoms or alkenyl having from 2 to 8 carbon atoms,
- A1 and A2
- are each, independently of one another, alkyl having from 1 to 12 carbon atoms, which
may be substituted by from 1 to 5 F and/or Cl atoms or OH-groups, where A1 and A2 together may alternatively be cycloalkyl or cycloalkylene having from 3 to 7 ring
members, in which one or more CH2 groups may be replace by -S-, -O-, -NH-, -NA1-, -NCOA1- or -NCOOA1-,
- X
- is H or Hal,
- Hal
- is F, Cl, Br or I, and
- Q
- is alkyl or alkenyl having from 1 to 15 carbon atoms, in which from 1 to 5 -CH2- groups may be replaced by -O-, -S-, -SO2-, -CH(Hal)-, -C(Hal)2-, -CHA1-, -CA1A2-, -NH- or -NA1-,
and salts and solvates thereof.
[0002] 1-Benzoyltetrahydropyridazines as progesterone receptor ligands are described, for
example, in
J. Med.Chem. 38, 4878 (1995).
Similar compounds are also disclosed in
DE 196 32 549 A1.
These show phosphodiesterase IV inhibition.
[0003] The invention had the object of finding novel compounds having valuable properties,
in particular those which can be used for the preparation of medicaments.
[0004] It has been found that the compounds of the formula I and salts and solvates thereof
have very valuable pharmacological properties as well as being well tolerated.
[0005] Compounds of formula I inhibit the PDE IV isozyme and thereby have a wide range of
therapeutic applications, because of the essential role which the PDE IV family of
isozymes plays in the physiology of all mammals. The enzymatic role performed by the
PDE IV isozymes is the intracellular hydrolysis of adenosine 3', 5'-monophosphate
(cAMP) within proinflammatory leukocytes. cAMP, in turn, is responsible for mediating
the effects of numerous hormones in the body, and as a consequence, PDE IV inhibition
plays a significant role in a variety of physiological processes. There is extensive
literature in the art describing the effects of PDE inhibitors on various inflammatory
cell responses, which in addition to cAMP elevation, include inhibition of superoxide
production, degranulation, chemotaxis and tumor necrosis factor (TNF) release in eosinophils,
neutrophils and monocytes.
[0007] Since cAMP inhibits bone-degrading cells and stimulates bone-forming cells (S, Kasugai
et al., M 681 and K. Miyamoto, M 682, in Abstracts of the American Society for Bone
and Mineral Research, 18
th Annual Meeting, 1996), the compounds according to the invention can be employed for
the
preparation of a medicament for the treatment of osteoporosis.
[0008] In addition, the compounds exhibit an antagonistic action to the production of TNF
(tumour necrosis factor) and are therefore suitable for the
preparation of a medicament for the treatment of allergic and inflammatory illnesses, autoimmune diseases and transplant
rejection reactions. They can furthermore be employed for the
preparation of a medicament for the treatment and prophylaxis of memory disorders, tumours, atherosclerosis, rheumatoid
arthritis, multiple sclerosis, Crohn's disease, atopic dermatitis, diabetes mellitus,
ulcerative colitis, cachexia, sepsis and AIDS.
[0013] They can furthermore be employed for the
preparation of a medicament for the treatment of memory disorders, atherosclerosis, atopic dermatitis and AIDS.
[0014] The action of PDE IV inhibitors in the treatment of asthma, Inflammatory diseases,
diabetes mellitus, atopic dermatitis, psoriasis, AIDS, cachexia, tumour growth or
tumour metastases is described, for example, in
EP 779 291.
[0015] The invention also relates to the use of the compounds of fomula I for the preparation
of a medicament to treat myocardial diseases.
[0016] Coronary artery disease is the most common cause of death in the western world. In
the presence of a critical stenosed coronary artery, a decrease of blood flow may
result in myocardial ischemia. Initiation of reperfusion results, depending on the
severity of the preceding ischemic period, in a reversibly or irreversibly injured
myocardium, which is characterized by a long-lasting depression or an irreversible
loss of contractile function. Depending on the size of the affected myocardial area,
an acute or a chronic heart failure may develop.
[0017] A particular clinical problem in the above mentioned scenario is the development
of restenosis after a primarily successful reperfusion intervention by PTCA, even
after stent implantation, thrombolysis or coronary artery bypass grafting.
[0018] From experimental animal and clinical studies evidence exists, that in the different
above mentioned heart diseases, i. e. coronary artery disease itself, reversible or
irreversible myocardial ischemia/reperfusion injury, acute or chronic heart failure
and restenosis, including instent-restenosis and stent-in-stent-restenosis, inflammatory
processes play a casual role. These inflammatory processes involve resident and invading
macrophages as well as neutrophils and TH
1 and TH
2 helper cells. This leukocyte response produces the characteristic cytokine pattern,
involving TNF-α, IL-1β, IL-2, and IL-6, as well as IL-10 and IL-13 (
Pulkki KJ: Cytokines and cardiomyocyte death. Ann.Med. 1997 29: 339-343.
[0020] The formation of these species has been demonstrated in human patients with myocardial
ischemia. Animal models show that cytokine production correlates with the invasion
of peripheral macrophages and neutrophils which can spread the damage into the still
intact myocardium.
[0023] It has been shown in animal models of myocardial infarction, that TNF-α is rapidly
released during the reperfusion phase (
Herskowitz A, Choi S, Ansari AA, Wesselingh S: Cytokine mRNA expression in postischemic/reperfused
myocardium. Am.J.Pathol. 1995 146: 419-428) and that the protective effects of drugs such as dexamethasone (
Arras M, Strasser R, Mohri M, et al: Tumor necrosis factor-alpha is expressed by monocytes/macrophages
following cardiac microembolization and is antagonized by cyclosporine. Basic.Res.Cardiol.
1998 93: 97-107), cyclosporin A (
Arras M, Strasser R, Mohri M, et al: Tumor necrosis factor-alpha is expressed by monocytes/macrophages
following cardiac microembolization and is antagonized by cyclosporine. Basic.Res.Cardiol.
1998 93: 97-107.
[0025] Preferred compounds of formula I are potent antagonists of macrophage and T-cell
cytokine production. They also inhibit the proliferation of T cells. Consequently,
PDE IV inhibition may have a beneficial effect in those myocardial diseases, which
are causally linked to cytokine production and inflammatory processes.
[0026] The invention also relates to the use of the compounds of the formula I and/or physiologically
acceptable salts and solvates thereof for the preparation of a medicament for the
treatment and prophylaxis of diseases which are caused by excessive production of
macrophages and T-cells and/or can be influenced by a reduction in macrophage and
T-cell production.
[0027] The invention also relates to the use of the compounds of the formula I and physiologically
acceptable salts and/or solvates thereof for the preparation of a medicament for the
treatment and prophylaxis of diseases which are caused by excessive proliferation
of the T-cells and/or can be influenced by an inhibition of the proliferation of the
T-cells.
[0028] As compared with PDE III inhibitors and the early PDE IV inhibitor Rolipram, the
compounds of the present invention are devoid of hemodynamic side effects, which can
be dose limiting for the treatment of most cardiovascular disorders.
[0029] Preferably, the invention provides for the use of the compounds of formula I for
preparing a medicament in treating or preventing one or members selected from the
groups of diseases, disorders, and conditions consisting of:
asthma of whatever type, etiology, or pathogenesis; or asthma that is a member selected
from the group consisting of atopic asthma; non-atopic asthma; allergic asthma; atopic,
bronchial, IgE-mediated asthma; bronchial asthma; essential asthma; true asthma; intrinsic
asthma caused by pathophysiologic disturbances; extrinsic asthma caused by environmental
factors; essential asthma of unknown or inapparent cause; non-atopic asthma; bronchitic
asthma; emphysematous asthma; exercise-induced asthma; occupational asthma; infective
asthma caused by bacterial, fungal, protozoal, or viral infection; non-allergic asthma;
incipient asthma; wheezy infant syndrome;
chronic or acute bronchoconstriction; chronic bronchitis; small airways obstruction;
and emphysema;
obstructive or inflammatory airways diseases of whatever type, etiology, or pathogenesis;
or an obstructive or inflammatory airways disease that is a member selected from the
group consisting of asthma; pneumoconiosis; chronic eosinophilic pneumonia; chronic
obstructive pulmonary disease (COPD); COPD that includes chronic bronchitis, pulmonary
emphysema or dyspnea associated therewith; COPD that is characterized by irreversible,
progressive airways obstruction; adult respiratory distress syndrome (ARDS), and exacerbation
of airways hyper-reactivity consequent to other drug therapy;
pneumoconiosis of whatever type, etiology, or pathogenesis; or pneumoconiosis that
is a member selected from the group consisting of aluminosis or bauxite workers' disease;
anthracosis or miners'asthma; asbestosis or steam-fifters' asthma; chalicosis or flint
disease; ptilosis caused by inhaling the dust from ostrich feathers; siderosis caused
by the inhalation of iron particles; silicosis or grinders' disease; byssinosis or
cotton-dust asthma; and talc pneumoconiosis;
bronchitis of whatever type, etiology, or pathogenesis; or bronchitis that is a member
selected from the group consisting of acute bronchitis; acute laryngotracheal bronchitis;
arachidic bronchitis; catarrhal bronchitis; croupus bronchitis; dry bronchitis; infectious
asthmatic bronchitis; productive bronchitis; staphylococcus or streptococcal bronchitis;
and vesicular bronchitis;
bronchiectasis of whatever type, etiology, or pathogenesis; or bronchiectasis that
is a member selected from the group consisting of cylindric bronchiectasis; sacculated
bronchiectasis; fusiform bronchiectasis; capillary bronchiectasis; cystic bronchiectasis;
dry bronchiectasis; and follicular bronchiectasis;
seasonal allergic rhinitis; or perennial allergic rhinitis; or sinusitis of whatever
type, etiology, or pathogenesis; or sinuisitis that is a member selected from the
group consisting of purulent or nonpurulent sinusitis; acute or chronic sinusitis;
and ethmoid, frontal, maxillary, or sphenoid sinusitis,
rheumatoid arthritis of whatever type, etiology, or pathogenesis; or rheumatoid arthritis
that is a member selected from the group consisting of acute arthritis; acute gouty
arthritis; chronic inflammatory arthritis; degenerative arthritis; infectious arthritis;
Lyme arthritis; proliferative arthritis; psoriatic arthritis; and vertebral arthritis;
gout, and fever and pain associated with inflammation;
an eosinophil-related disorder of whatever type, etiology, or pathogenesis; or an
eosinophil-related disorder that is a member selected from the group consisting of
eosinophilia; pulmonary infiltration eosinophilia; Loffier's syndrome; chronic eosinophilic
pneumonia; tropical pulmonary eosinophilia; bronchopneumonic aspergillosis; aspergilloma;
granulomas containing eosinophils; allergic granulornatous angijtis 'or Churg-Strauss
syndrome; polyarteritis nodosa (PAN); and systemic necrotizing vasculitis;
atopic dermatitis; or allergic dermatitis; or allergic or atopic eczema;
urticaria of whatever type, etiology, or pathogenesis; or urticaria that is a member
selected from the group consisting of immune-mediated urticaria; complement-mediated
urticaria; urticariogenic material-induced urticaria; physical agent- induced urticaria;
stressinduced urticaria; idiopathic urticaria; acute urticaria; chronic urticaria;
angioedema; cholinergic urticaria; cold urticaria in the autosomal dominant form or
in the acquired form; contact urticaria; giant urticaria; and papular urticaria;
conjunctivitis of whatever type, etiology, or pathogenesis; or conjunctivitis that
is a member selected from the group consisting of actinic conjunctivitis; acute catarrhal
conjunctivitis; acute contagious conjunctivitis; allergic conjunctivitis; atopic conjunctivitis;
chronic catarrhal conjunctivitis; purulent conjunctivitis; and vernal conjunctivitis;
uveitis of whatever type, etiology, or pathogenesis; or uveitis that is a member selected
from the group consisting of inflammation of all or part of the uvea; anterior uveitis;
iritis; cyclitis; iridocyclitis; granulornatous uveitis; nongranulornatous uveitis;
phacoantigenic uveitis; posterior uveitis; choroiditis; and chorioretinitis;
psoriasis;
multiple sclerosis of whatever type, etiology, or pathogenesis; or multiple sclerosis
that is a member selected from the group consisting of primary progressive multiple
sclerosis; and relapsing remitting multiple sclerosis;
autoimmune/inflammatory diseases of whatever type, etiology, or pathogenesis; or an
autoimmune/inflammatory disease that is a member selected from the group consisting
of autoimmune hematological disorders; hemolytic anemia; aplastic anemia; pure red
cell anemia; idiopathic thrombocytopenic purpura; systemic lupus erythematosus; polychondritis;
scleroderma; Wegner's granulomatosis; dermatomyositis; chronic active hepatitis; myasthenia
gravis; Stevens-Johnson syndrome; idiopathic sprue; autoimmune inflammatory bowel
diseases; ulcerative colitis; Crohn's disease; endocrin opthamopathy; Grave's disease;
sarcoidosis; alveolitis; chronic hypersensitivity pneumonitis; primary biliary cirrhosis;
juvenile diabetes or diabetes mellitus type 1; anterior uveitis; granulornatous or
posterior uveitis; keratoconjunctivitis sicca; epidemic keratoconjunctivitis; diffuse
interstitial pulmonary fibrosis or interstitial lung fibrosis; idiopathic pulmonary
fibrosis; cystic fibrosis; psoriatic arthritis; glomerulonephritis with and without
nephrotic syndrome; acute glomerulonephritis; idiopathic nephrotic syndrome; minimal
change nephropathy; inflammatory/ hyperproliferative skin diseases; psoriasis; atopic
dermatitis; contact dermatitis; allergic contact dermatitis; benign familial pemphigus;
pemphigus erythematosus; pemphigus foliaceus; and pemphigus vulgaris;
prevention of allogeneic graft rejection following organ transplantation;
inflammatory bowel disease (IBD) of whatever type, etiology, or pathogenesis; or inflammatory
bowel disease that is a member selected from the group consisting of ulerative colitis
(UC); collagenous colitis; colitis polyposa; transmural colitis; and Crohn's disease
(CD);
septic shock of whatever type, etiology, or pathogenesis; or septic shock that is
a member selected from the group consisting of renal failure; acute renal failure;
cachexia; malarial cachexia; hypophysial cachexia; uremic cachexia; cardiac cachexia;
cachexia suprarenalis or Addison's disease; cancerous cachexia; and cachexia as a
consequence of infection by the human immunodeficiency virus (HIV);
liver injury;
pulmonary hypertension; and hypoxia-induced pulmonary hypertension;
bone loss diseases; primary osteoporosis; and secondary osteoporosis;
central nervous system disorders of whatever type, etiology, or pathogenesis; or a
central nervous system disorder that is a member selected from the group consisting
of depression; Parkinson's disease; learning and memory impairment; tardive dyskinesia;
drug. dependence; arteriosclerotic dementia; and dementias that accompany Huntington's
chorea, Wilson's disease, paralysis agitans, and thalamic atrophies;
infection, especially infection by viruses wherein such viruses increase the production
of TNF-α in their host, or wherein such viruses are sensitive to upregulation of TNF-α
in their host so that their replication or other vital activities are adversely impacted,
including a virus which is a member selected from the group consisting of HIV-1,HIV-2,
and HIV-3; cytomegalovirus, CMV; influenza; adenoviruses; and Herpes viruses, including
Herpes zoster and Herpes simplex;
yeast and fungus infections wherein said yeast and fungi are sensitive to upregulation
by TNF-α or elicit TNF-α production in their host, e.g., fungal meningitis; particularly
when administered in conjunction with other drugs of choice for the preparation of a medicament for the treatment of systemic yeast and fungus infections, including but are not limited
to, polymixins, e.g., Polymycin B; imidazoles, e.g., clotrimazole, econazole, miconazole,
and ketoconazole; triazoles, e.g., fluconazole and itranazole; and amphotericins,
e.g., Amphotericin B and liposomal Amphotericin B;
ischemia-reperfusion injury; autoimmune diabetes; retinal autoimmunity; chronic lymphocytic
leukemia; HIV infections; lupus erythematosus; kidney and ureter disease; urogenital
and gastrointestinal disorders; and prostate diseases.
[0030] In particular, compounds of formula I are useful in the
preparation of a medicament for the treatment of
- (1) inflammatory diseases and conditions comprising: joint Inflammation, rheumatoid
arthritis, rheumatoid spondylitis, osteoarthritis, inflammatory bowel disease, ulcerative
colitis, chronic glomerulonephritis, dermatitis, and Crohn's disease; (2) respiratory
diseases and conditions comprising: asthma, acute respiratory distress syndrome, chronic
pulmonary inflammatory disease, bronchitis, chronic obstructive airway disease, and
silicosis; (3) infectious diseases and conditions comprising: sepsis, septic shock,
endotoxic shock, gram negative, sepsis, toxic shock syndrome, fever and myalgias due
to bacterial, viral or fungal infection, and influenza; (4) immune diseases and conditions
comprising: autoimmune diabetes, systemic lupus erythematosis, graft vs. host reaction,
allograft rejections, multiple sclerosis, psoriasis, and allergic rhinitis; and (5)
other diseases and conditions comprising: bone resorption diseases; reperfusion injury;
cachexia secondary to infection or malignancy; cachexia secondary to human acquired
immune deficiency syndrome (AIDS), human immuno deficiency virus (HIV) infection,
or AIDS related complex (ARC); keloid formation; scar tissue formation; type 1 diabetes
mellitus; and leukemia.
[0031] The present invention further relates to the combination of a preferred compound
of Formula I mentioned above together with one or more members selected from the group
consisting of the following:
- (a) leukotriene biosynthesis inhibitors: 5-lipoxygenase (5-LO) inhibitors and 5-lipoxygenase
activating protein (FLAP) antagonists selected from the group consisting of zileuton;
fenleuton; tepoxalin; Abbott-79175; Abbott-85761; N-(5-substituted) thiophene-2-alkylsulfonamides;
2,6-di-tert-butylphenol hydrazones;
the class of methoxytetrahydropyrans which includes Zeneca ZD-2138; the compound SB-210661
and the class to which it belongs; the class of pyridinyl-substituted 2-cyanonaphthafene
compounds to which L 739,010 belongs; the class of 2-cyanoquinoline compounds to which
L-746,530 belongs; the classes of indole and quinoline compounds to which MK-591,
MK-886, and BAY x 1005 belong; (b) receptor antagonists for leukotrienes LTB4, LTC4,
LTD4, and LTE4 selected from the group consisting of the phenothiazin-3-one class
of compounds to which L-651,392 belongs; the class of amidino compounds to which CGS-25019c
belongs; the class of benzoxaolamines to which ontazolast belongs; the class of benzenecarboximidamides
to which BIIL 284/260 belongs; and the classes of ompounds to which zafirlukast, ablukast,
montelukast, pranlukast, verlukast (MK-679), RG-12525, Ro-245913, iralukast (CGP 45715A),
and BAY x 7195 belong; (c) PDE IV inhibitors; (d) 5-Lipoxygenase (5-1-0) inhibitors;
or 5-lipoxygenase activating protein (FLAP) antagonists; (e) dual inhibitors of 5-lipoxygenase
(5-LO) and antagonists of platelet activating factor (PAF); (f) leukotriene antagonists
(LTRAs) including antagonists of LTB4 , LTC4, LTD4, and LTE4; (g) antihistaminic H,
receptor antagonists including cetirizine, loratadine, desioratadine, fexofenadine,
astemizole, azelastine, and chlorpheniramine; (h) gastroprotective H2 receptor antagonists;
(i) α1- and α2-adrenoceptor agonist vasoconstrictor sympathomimetic agents administered orally or
topically for decongestant use, including propyl hexedrine, phenylephrine, phenylpropanolamine,
pseudoephedrine, naphazoline hydrochloride, oxymetazoline hydrochloride, tetrahydrozoline
hydrochloride, xylometazoline hydrochloride, and ethylnorepinephrine hydrochloride;
j) α1- and α2-adrenoceptor agonists in combination with inhibitors of 5-lipoxygenase (5-LO); (k)
anticholinergic agents including ipratropium bromide; tiotropiurn bromide; oxitropium
bromide; pirenzepine; and telenzepine; (I) β1-to β4 adrenoceptor agonists including etaproterenol, isoproterenol, isoprenaline, albuterol,
salbutamol, formoterol, salmeterol, terbutaline, orciprenaline, bitolterol mesylate,
and pirbuterol; (m) methylxanthanines including theophylline and aminophylline; (n)
sodium cromoglycate; (o) muscarinic receptor (M1, M2, and M3) antagonists; (p) COX-1
inhibitors (NSAIDs); COX-2 selective inhibitors including rofecoxib; and nitric oxide
NSAIDs; (q) insulin- like growth factor type I (IGF-1) mimetics; (r) ciclesonide;
(s) inhaled glucocorticoids with reduced systemic side effects, including prednisone,
prednisolone, flunisolide, triamcinolone acetonide, beclomethasone dipropionate, budesonide,
fluticasone propionate, and mometasone furoate; (t) tryptase inhibitors; (u) platelet
activating factor (PAF) antagonists; (v) monoclonal antibodies active against endogenous
inflammatory entities; (w) IPL 576; (x) antitumor necrosis factor (TNFα) agents including
Etanercept, Infliximab, and D2E7; (y) DMARDs including Leflunomide; (z) TCR peptides;
(aa) interleukin converting enzyme (ICE) inhibitors; (bb) IMPDH inhibitors; (cc) adhesion
molecule inhibitors including VLA-4 antagonists; (dd) cathepsins; (ee) MAP kinase
inhibitors; (ff) glucose-6 phosphate dehydrogenase inhibitors; (gg) kinin-131 - and
B2 -receptor antagonists; (hh) gold in the form of an aurothio group together with
various hydrophilic groups; (ii) immunosuppressive agents, e.g., cyclosporine, azathioprine,
and methotrexate; (jj) anti-gout agents, e.g., colchicine; (kk) xanthine oxidase inhibitors,
e.g., allopurinol; (II) uricosuric agents, e.g., probenecid, sulfinpyrazone, and benzbromarone;
(mm) antineoplastic agents, especially antimitotic drugs including the vinca alkaloids
such as vinblastine and vincristine; (nn) growth hormone secretagogues; (oo) inhibitors
of matrix metalloproteases (MMPs), i.e., the stromelysins, the collagenases, and the
gelatinases, as well as aggrecanase; especially collagenase-1 (MMP-1), collagenase-2
(MMP-8), collagenase-3 (MMP-13), stromelysin-1 (MMP-3), stromelysin-2 (MMP-10), and
stromelysin-3 (MMP-11); (pp) transforming growth factor (TGFP); (qq) platelet-derived
growth factor (PDGF); (rr) fibroblast growth factor, e.g., basic fibroblast growth
factor (bFGF); (ss) granulocyte macrophage colony stimulating factor (GM-CSF); (tt)
capsaicin; (uu) Tachykinin NK1 and NK3 receptor antagonists selected from the group consisting of NKP-608C; SB233412 (talnetant);
and D-4418; and (w) elastase inhibitors selected from the group consisting of UT-77
and ZD-0892.
[0032] The present invention also relates to a combination of one or more compounds of formula
I together with one or more additional therapeutic agents to be co-administered to
a patient to obtain some particularly desired therapeutic end result. The second,
etc. therapeutic agent may also be one or more compounds as described above or one
or more PDE IV inhibitors known in the art and described in detail herein. More typically,
the second, etc. therapeutic agent will be selected from a different class of therapeutic
agents. These selections are described in detail below.
[0033] As used herein, the terms co-administration", "co-administered", and "in combination
with", referring to the preferred compounds as mentioned above and one or more other
therapeutic agents, is intended to mean, and does refer to and include the following:
- (a) simultaneous administration of such combination of compound(s) and therapeutic
agent(s) to a patient in need of treatment, when such components are formulated together
into a single dosage form which releases said components at substantially the same
time to said patient;
- (b) substantially simultaneous administration of such combination of compound(s) and
therapeutic agent(s) to a patient in need of treatment, when such components are formulated
apart from
each other into separate dosage forms which are ingested at substantially the same
time by said patient, whereupon said components are released at substantially the
same time to said patient;
- (c) sequential administration of
such combination of compound(s) and therapeutic agent(s) to a patient in need of treatment,
when such components are formulated apart from each other into separate dosage forms
which are ingested at consecutive times by said patient with a significant time interval
between each ingestion, whereupon said components are released at substantially different
times to said patient; and
- (d) sequential administration of such combination of compound(s) and therapeutic agent(s)
to a patient in need of treatment, when such components are formulated together into
a single dosage form which releases said components in a controlled manner whereupon
they are concurrently, consecutively, and/or overlappingly ingested at the same and/or
different times by said patient.
[0034] One or more of the compounds of fomula I can also be used in combination with leukotriene
biosynthesis inhibitors, i.e., 5-lipoxygenase inhibitors and/or 5- lipoxygenase activating
protein antagonists, to form embodiments of the present invention. 5-Lipoxygenase
(5-LO) is one of two groups of enzymes that metabolize arachidonic acid, the other
group being the cyclooxygenases, COX-1 and COX-2.
[0035] The 5-lipoxygenase activating protein is an 18 kDa membrane-bound, arachidonate-binding
protein which stimulates the conversion of cellular arachidonic acid by 5-lipoxygenase.
The arachidonic acid is converted into 5-hydroperoxyeicosatetraenoic acid (5-HPETE),
and this pathway eventually leads to the production of inflammatory leukotrienes;
consequently, blocking the 5-lipoxygenase activating protein or the 5-lipoxygenase
enzyme itself provides a desirable target for beneficially interfering with that pathway.
One such 5-lipoxygenase inhibitor is zileuton. Among the classes of leukotriene synthesis
inhibitors which are useful for forming therapeutic combinations with the compounds
of formula I are the following:
- (a) redox-active agents which include N-hydroxyureas; N-alkylhydroxamid acids; selenite;
hydroxybenzofurans; hydroxylamines; and catechols; see Ford- Hutchinson et aL, "5-Lipoxygenase," Ann. Rev. Biochem. 63, 383-417,1994; Weitzel and Wendel, "Selenoenzymes regulate the activity of leukocyte 5-lipoxygenase
via the peroxide tone," J. Biol. Chem. 268, 6288-92, 1993; Björnstedt et al. "Selenite incubated with NADPH and mammalian thioredoxin reductase
yields selenide, which inhibits lipoxygenase and changes the electron spin resonance
spectrum of the active site iron," Biochemistry 35, 8511-6, 1996; and Stewart et al., "Structure-activity relationships of N-hydroxyurea 5-lipoxygenase
inhibitors," J. Med. Chem. 40, 1955-68, 1997;
- (b) alkylating agents and compounds which react with SH groups have been found to
inhibit leukotriene synthesis in vitro; see Larsson et al., "Effects of 1-chloro-2,4,6trinitrobenzene on 5-lipoxygenase activity
and cellular leukotriene synthesis," Biochem. Pharmacol. 55, 863-71, 1998; and
- (c) competitive inhibitors of 5-lipoxygenase, based on thiopyranoindole and methoxyalkyl
thiazole structures which may act as non-redox inhibitors of 5-lipoxygenase; see Ford-Hutchinson
et al., Ibid.; and Hamel et al., "Substituted (pyridylmethoxy)naphthalenes as potent and orally active
5-lipoxygenase inhibitors - synthesis, biological profile, and pharmacokinetics of
L-739,01 0," J. Med. Chem. 40, 2866-75, 1997.
[0036] The observation that arachidonoyl hydroxyamate inhibits 5-lipoxygenase has led to
the discovery of clinically useful selective 5-lipoxygenase inhibitors such as the
N-hydroxyurea derivatives zileuton and Abbott-85761, represented below:

[0037] Another N-hydroxyurea compound is fenleuton (Abbott-76745):

[0038] Another N-hydroxyurea compound is Abbott-79175

[0041] Fenleuton, Abbott-79175, Abbott-85761 or any of the above-described derivatives thereof
or of tepoxalin, are combined with the preferred compounds described above to form
embodiments of the present invention.
[0042] Since the elucidation of the 5-LO biosynthetic pathway, there has been an ongoing
debate as to whether it is more advantageous to inhibit the 5-lipoxygenase enzyme
or to antagonize peptido- or non-peptido leukotriene receptors. Inhibitors of 5-lipoxygenase
are deemed to be superior to LT-receptor antagonists, since 5-lipoxygenase inhibitors
block the action of the full spectrum of 5-LO products, whereas LT-antagonists produce
narrower effects. Nevertheless, embodiments of the present invention include combinations
of the preferred compounds with LT-antagonists as well as 5-LO inhibitors, as described
below. Inhibitors of 5-lipoxygenase having chemical structures that differ from the
classes of N-hydroxyureas and hydroxamic acids described above are also used in combination
with the preferred compounds to form further embodiments of the present invention.
An example of such a different class is the N-(5-substituted)-thiophene-2-alkylsulfonamides
of following formula

where X is O or S; R' is methyl, iso-propyl, n-butyl, n-octyl, or phenyl; and R is
n-pentyl, cyclohexyl, phenyl, tetrahydro-1-naphthyl, 1- or 2-naphthyl, or phenyl mono-
or di-substituted by Cl, F, Br, CH
3, OCH
3, SCH
3, SO
2CH
3, CF
3, or iso-propyl. A preferred compound is

[0045] The N-(5-substituted)-thiophene-2-alkylsulfonamides or the 2,6-di-tert-butylphenol
hydrazones or any of the above-described derivatives thereof, are combined with the
preferrred compounds mentioned above to form embodiments of the present invention.
[0046] A further distinct class of 5-lipoxygenase inhibitors is that of methoxytetrahydropyrans
to which Zeneca ZD-2138 belongs

[0048] Another distinct class of 5-lipoxygenase inhibitors is that to which the SmithKline
Beecham compound SB-210661 belongs

[0049] Two further distinct and related classes of 5-lipoxygenase inhibitors comprise a
series of pyridinyl-substituted 2-cyanonaphthalene compounds and a series of 2-cyanoquinoline
compounds discovered by Merck Frosst. These two classes of 5-lipoxygenase inhibitors
are exemplified by L-739,010 and L-746,530, respectively:

[0051] The class of methoxytetrahydropyrans including Zeneca ZD-2138; or the lead compound
SB-210661 and the class to which it belongs; or the series of pyridinyl-substituted
2-cyanonaphthalene compounds to which L 739,010 belongs, or the series of 2-cyanoquinoline
compounds to which L-746,530 belongs; or any of the above-described derivatives of
any of the above-mentioned classes, are combined with the preferred compounds mentioned
above to form embodiments of the present invention.
[0052] In addition to the 5-lipoxygenase enzyme, the other endogenous agent which plays
a significant role in the biosynthesis of the leukotrienes is the 5- lipoxygenase
activating protein (FLAP). This role is an indirect one, in contrast to the direct
role of the 5-lipoxygenase enzyme. Nevertheless, antagonists of the 5-lipoxygenase
activating protein are employed to inhibit the cellular synthesis of leukotrienes,
and as such are also used in combination with the preferred compounds mentioned above
to form embodiments of the present invention.
[0053] Compounds which bind to the 5-lipoxygenase activating protein and thereby block utilization
of the endogenous pool of archidonic acid which is present have been synthesized from
indole and quinoline structures; see Ford-Hutchinson et al., Ibid.;
Rouzer et al. "WK-886, a potent and specific leukotriene biosynthesis inhibitor blocks
and reverses the membrane association of 5-lipoxygenase in ionophore-challenged leukocytes,"
J. Biol. Chem. 265, 1436- 42, 1990; and
Gorenne et al., "{(R)-2-quinolin-2-yl-methoxy)phenyl)-2-cyclopentyl acetic acid} (BAY
x1005), a potent leukotriene synthesis inhibitor: effects on anti-IgE challenge in
human airways," J. Pharmacol. Exp. Ther. 268, 868-72, 1994.
[0054] MK-591, which has been designated quiflipon sodium, is represented below

[0055] The above-mentioned indole and quinoline classes of compounds and the specific compounds
MK-591, IVIK-886, and BAY x 1005 to which they belong, or any of the above-described
derivatives of any of the above-mentioned classes, are combined with the preferred
compounds mentioned above to form embodiments of the present invention.
[0056] One or more of the compounds of formula can also be used in combination with receptor
antagonists for leukotrienes LTB
4 , LTC
4, LTD
4, and LTE
4. The most significant of these leukotrienes in terms of mediating inflammatory response,
are LTB
4 and LTD
4. Classes of antagonists for the receptors of these leukotrienes are described in
the paragraphs which follow.
[0059] Ontazolast, a member of a class of benzoxaolamines that are receptor antagonists
for LTB
4, is described in
EP 535 521 (Anderskewitz et A):

[0061] Zafirlukast is a receptor antagonist for LTC
4, LTD
4, and LTE
4 which is sold commercially under the name Accolate
®. It belongs to a class of heterocyclic amide derivatives described in
US 4,859,692 (Bernstein et al.);
US 5,319,097 (Holohan and Edwards);
US 5,294,636 (Edwards and Sherwood);
US 5,482,963;
US 5,583,152 (Bernstein et al.); and
US 5,612,367 (Timko et al.):

[0062] Ablukast is a receptor antagonist for LTD
4 that is designated Ro 23-3544/001:

[0063] Montelukast is a receptor antagonist for LTD
4 which is sold commercially under the name Singulair
® and is described in
US 5,565,473:

[0064] Other receptor antagonists for LTD
4 include pranlukast, verlukast (MK-679), RG-12525, Ro-245913, iralukast (CGP 45715A),
and BAY x 7195. The above-mentioned phenothiazin-3-one class of compounds, including
L- 851,392; the class of amidino compounds that includes CGS-25019c; the class of
benzoxaolamines which includes Ontazolast; the class of benzenecarboximidamides which
is typified by BIIL 284/260; the heterocyclic amide derivatives including Zafirlukast;
Ablukast and Montelukast and the classes of compounds to which they belong; or any
of the above-described derivatives of any of the above-mentioned classes, are combined
with the compounds of formula I to form embodiments of the present invention.
[0065] One or more of the compounds of formula I can also be used together with other therapeutic
agents as well as non-therapeutic agents to form combinations that are further embodiments
of the present invention and that are useful in the
preparation of a medicament for the treatment of a significant number of different diseases, disorders, and conditions
described herein. Said embodiments comprise one or more preferred compounds together
with one or more of the following:
(a) PDE IV inhibitors;
(b) 5-Lipoxygenase (5-LO) inhibitors; or 5-lipoxygenase activating protein (FLAP)
antagonists;
(c) Dual inhibitors of 5-lipoxygenase (5-LO) and antagonists of platelet activating
factor (PAF);
(d) Leukotriene antagonists (LTRAs) including antagonists of LTB4, LTC4, LTD4, and LTE4;
(e) Antihistaminic H1 receptor antagonists including cetirizine, loratadine, desloratadine, fexofenadine,
astemizole, azelastine, and chlorpheniramine;
(f) Gastroprotective H2 receptor antagonists;
(g) α1- and α2-adrenoceptor agonist vasoconstrictor sympathomimetic agents administered orally or
topically for decongestant use, including propylhexedrine, phenylephrine, phenylpropanolamine,
pseudoephedrine, naphazoline hydrochloride, oxymetazoline hydrochloride,
tetrahydrozoline hydrochloride, xylometazoline hydrochloride, and ethylnorepinephrine
hydrochloride;
(h) α1- and α2-adrenoceptor agonists in combination with inhibitors of 5-lipoxygenase (5-LO);
(i) Anticholinergic agents including ipratropium bromide; tiotropium bromide; oxitropium
bromide; pirenzepine; and telenzepine;
(j) β1- to β4-adrenoceptor agonists including metaproterenol, isoproterenol, isoprenaline, albuterol,
salbutamol, formoterol, salmeterol, terbutaline, orciprenaline, bitolterol mesylate,
and pirbuterol;
(k) Theophylline and aminophylline;
(I) Sodium cromoglycate;
(m) Muscarinic receptor (MI, M2, and M3) antagonists;
(n) COX-1 inhibitors (NSAIDs); COX-2 selective inhibitors including rofecoxib; and
nitric oxide NSAIDs;
(o) Insulin-like growth factor type I (IGF-1) mimetics;
(p) Ciclesonide;
(q) Inhaled glucocorticoids with reduced systemic side effects, including prednisone,
prednisolone, flunisolide, triamcinolone acetonide, beclomethasone dipropionate, budesonide,
fluticasone propionate, and mometasone furoate;
(r) Tryptase inhibitors;
(s) Platelet activating factor (PAF) antagonists;
(t) Monoclonal antibodies active against endogenous inflammatory entities;
(u) IPL 576;
(v) Anti-tumor necrosis factor (TNFα) agents including Etanercept, Infliximab, and
D2E7;
(w) DMARDs including Leflunomide;
(x) TCR peptides;
(y) Interleukin converting enzyme (ICE) inhibitors;
(z) IMPDH inhibitors; .
(aa) Adhesion molecule inhibitors including VLA-4 antagonists;
(bb) Cathepsins;
(cc) MAP kinase inhibitors;
(dd) Glucose-6 phosphate dehydrogenase inhibitors;
(ee) Kinin-B1- and B2-receptor antagonists;
(ff) Gold in the form of an aurothio group together with various hydrophilic groups;
(gg) Immunosuppressive agents, e.g., cyclosporine, azathioprine, and methotrexate;
(hh) Anti-gout agents, e.g., colchicine;
(ii) Xanthine oxidase inhibitors, e.g., allopurinol;
(jj) Uricosuric agents, e.g., probenecid, sulfinpyrazone, and benzbromarone;
(kk) Antineoplastic agents, especially antimitotic drugs including the vinca alkaloids
such as vinblastine and vincristine;
(ll) Growth hormone secretagogues;
(mm) Inhibitors of matrix metalloproteases (MMPs), i.e., the stromelysins, the collagenases,
and the gelatinases, as well as aggrecanase; especially collagenase-1 (MMP-1), collagenase-2
(MMP-8), collagenase-3 (MMP-13), stromelysin-1 (MMP-3), stromelysin-2 (MMP-10), and
stromelysin-3 (MMP-11);
(nn) Transforming growth factor (TGFβ);
(oo) Platelet-derived growth factor (PDGF);
(pp) Fibroblast growth factor, e.g., basic fibroblast growth factor (bFGF);
(qq) Granulocyte macrophage colony stimulating factor (GM-CSF);
(rr) Capsaicin;
(ss) Tachykinin NK1 and NK3 receptor antagonists selected from the group consisting of NKP-608C; SB-233412 (talnetant);
and D-4418;
(tt) Elastase inhibitors selected from the group consisting of UT-77 and ZD-0892;
and
(uu) Adenosine A2a receptor agonists.
[0066] The invention was based on the object of discovering new uses of compounds having
valuable properties, especially those which may be used to prepare medicaments.
[0067] It has been found that the compounds of formula I and their salts combine very valuable
pharmacological properties with good tolerability for the treatment of myocardial
diseases.
[0068] The compounds of the formula I can be employed as medicament active ingredients in
human and veterinary medicine. They can furthermore be employed as intermediates for
the preparation of further medicament active ingredients.
[0069] Accordingly, the invention relates to the compounds of the formula I and to a process
for the preparation of compounds of the formula I according to Claim 1 and salts and
solvates thereof, in particular physiologically tolerated salts and solvates thereof,
characterised in that a compound of the formula II

in which
- R1 and R2
- are as defined above,
is reacted with a compound of the formula III

in which
- X, R3
- and Q are as defined above, and
- L
- is Cl, Br, OH or a reactive esterified OH group,
or
in that a compound of the formula IV

in which
- R1 and R2
- are as defined above,
is reacted with a compound of the formula V
L-Q-R
3 V
in which
- Q and R3
- are as defined in Claim 1, and
- L
- is Cl, Br, OH or a reactive esterified OH group,
and/or in that a basic compound of the formula I is converted into one of its salts
by treatment with an acid.
[0070] The term "solvates of the compounds of the formula I" is taken to mean adductions
of inert solvent molecules onto the compounds of the formula I which form owing to
their mutual attractive force. Solvates are, for example, monohydrates or dihydrates
or alcoholates.
[0071] Above and below, the radicals R
1, R
2, R
3, R
4, A
1, A
2, Hal, X, Q and L are as defined under the formulae I, II, III, IV and V, unless expressly
stated otherwise.
[0072] A
1 and A
2 together may be cycloalkyl or cycloalkylene in cases where A
1 and A
2 are directly linked to a C- or a N-Atom in a CA
1A
2-, NA
1A
2- or CONA
1A
2-group. Therefore, the C- or N-atom of said groups linked to A
1 and A
2 are ring members of the resulting cycloalkyl- or cycloalkenyl-moiety. Additionally,
one or more CH
2-groups, preferably only one CH
2-group, may be replaced by -S-, -O-, -NH-, -NA
1-, -NCOA
1- or -NCOOA
1-.
[0073] A
1 and A
2, independently of one another, are preferably alkyl, furthermore preferably alkyl
which is substituted by from 1 to 5 fluorine and/or chlorine atoms, furthermore preferably
together alternatively cycloalkyl.
[0074] In the above formulae, alkyl is preferably unbranched and has 1, 2, 3, 4, 5, 6, 7,
8, 9 or 10 carbon atoms, 1, 2, 3, 4, 5 or 6 carbon atoms, and is preferably methyl,
ethyl, trifluoromethyl, pentafluoroethyl or propyl, furthermore preferably isopropyl,
butyl, isobutyl, sec-butyl or tert-butyl, but also n-pentyl, neopentyl, isopentyl
or n-hexyl. Particular preference is given to methyl, ethyl, trifluoromethyl, propyl,
isopropyl, butyl, n-pentyl, n-hexyl or n-decyl.
[0075] Cycloalkyl preferably has 3-7 carbon atoms and is preferably cyclopropyl or cyclobutyl,
furthermore preferably cyclopentyl or cyclohexyl, furthermore also cycloheptyl, particularly
preferably cyclopentyl.
[0076] Alkenyl is preferably allyl, 2- or 3-butenyl, isobutenyl, sec-butenyl, furthermore
preferably 4-pentenyl, isopentenyl or 5-hexenyl.
[0077] Alkylene is preferably unbranched and is preferably methylene or ethylene, furthermore
preferably propylene or butylene.
[0078] Alkylenecycloalkyl preferably has 5-10 carbon atoms and is preferably methylenecyclopropyl,
methylenecyclobutyl, furthermore preferably methylenecyclopentyl, methylenecyclohexyl
or methylenecycloheptyl, furthermore alternatively ethylenecyclopropyl, ethylenecyclobutyl,
ethylenecyclopentyl, ethylenecyclohexyl or ethylenecycloheptyl, propylenecyclopentyl,
propylenecyclohexyl, butylenecyclopentyl or butylenecyclohexyl.
[0079] Hal is preferably F, Cl or Br, but alternatively I, in particular F or Cl.
[0080] The radicals R
1 and R
2 may be identical or different, where R
1 can be in the ortho- or meta-position to R
2. They are, independently of one another, for example hydroxyl, -S-CH
3, -SO-CH
3, -SO
2CH
3, F, Cl, Br or I or together are methylenedioxy. However, they are preferably each
methoxy, ethoxy, propoxy, cyclopentoxy, but also fluoro-, difluoro-or trifluoromethoxy
or 1-fluoro-, 2-fluoro-, 1,2-difluoro-, 2,2-difluoro-, 1,2,2-trifluoro- or 2,2,2-trifluoroethoxy.
R1 is particularly preferably methoxy, ethoxy, cyclopentoxy or isopropoxy.
R1 is particularly preferably in the ortho-position to R2.
R2 is particularly preferably methoxy or ethoxy.
[0081] R
3 is preferably A
1, F, Cl, Br or I, hydroxyl, NH
2, O-alkyl, NO
2, alkylamino, cycloalkylamino or dialkylamino, where alkyl and cycloalkyl have one
of the meanings indicated above, or

[0082] R
3 is particularly preferably NH
2, NO
2, methoxy, ethoxy, propoxy, isopropoxy, butoxy, pentoxy, hexyloxy or decyloxy, Cl
or F, dimethylamino, diethylamino, methylamino, ethylamino,

in which A
3 is alkyl having from 1 to 12 carbon atoms. A
3 is preferably n-alkyl having 6, 7, 8, 9, 10, 11 or 12 carbon atoms, in particular
n-alkyl having 7 or 11 carbon atoms.
[0083] X is preferably H, F or Cl, especially H.
[0084] Q is preferably alkylene having from 1 to 10 carbon atoms, in which from 1 to 3 carbon
atoms may be replaced by -O-, -NH- or -NA
1-, in particular methylene, ethylene, n-propylene, n-butylene, n-pentylene, n-hexylene
or n-heptylene, and the following groups:
-CH
2CH
2OCH
2CH
2OCH
2CH
2-,
-CH
2CH
2OCH
2CH
2OCH
2CH
2-,
-CH
2CH
2CH
2OCH
2CH
2-,
-CH
2CH
2CH
2OCH
2CH
2OCH
2CH
2-,
-CH
2CH
2CH
2OCH
2CH
2CH
2OCH
2CH
2-,
-CH
2CH
2NHCH
2CH
2NHCH
2CH
2-,
-CH
2CH
2NHCH
2CH
2NHCH
2CH
2-,
-CH
2CH
2CH
2NHCH
2CH
2-,
-CH
2CH
2CH
2NHCH
2CH
2NHCH
2CH
2-.
-CH
2CH
2CH
2NHCH
2CH
2CH
2NHCH
2CH
2-.
-CH
2CH
2NA
1CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2NA
1CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2CH
2NA
1CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2CH
2NA
1CH
2CH
2CH
2NA
1CH
2CH
2-,
in which A
1 is as defined above.
[0085] The phenyl ring substituted by the -O-Q-R
3 group is preferably meta- or para-substituted, in particular para-substituted.
[0086] Throughout the invention, all radicals which occur more than once may be identical
or different, i.e. are independent of one another.
[0087] Accordingly, the invention relates, in particular, to the compounds of the formula
I in which at least one of the said radicals has one of the preferred meanings indicated
above. Some preferred groups of compounds may be expressed by the following sub-formulae
Ia to Ih, which conform to the formula I and in which the radicals not designated
in greater detail have the meaning indicated for the formula I, but in which
in la
- R1 and R2
- are each, independently of one another, OA1;
in Ib
- R1 and R2
- are each, independently of one another, OA1,
- A1 and A2
- are each, independently of one another, alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms;
in Ic
- R1 and R2
- are each, independently of one another, OA1,
- A1 and A2
- are each, independently of one another alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms,
- R3
- is A1, F, Cl, hydroxyl, NH2, OA1, NO2 alkylamino, cycloalkylamino, dialkylamino,

or

in Id
- R1 and R2
- are each, independently of one another, OA1,
- A1 and A2
- are each, independently of one another, alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms,
- R3
- is A1, F, Cl, hydroxyl, NH2, OA1, NO2, alkylamino, cycloalkylamino, dialkylamino,

or

- Q
- is alkylene having from 1 to 10 carbon atoms, in which from 1 to 3 carbon atoms may
be replaced by -O-;
in Ie
- R1 and R2
- are each, independently of one another, OA1,
- A1 and A2
- are each, independently of one another, alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms,
- R3
- is NH2, NO2, methoxy, ethoxy, propoxy, isopropoxy, butoxy, pentoxy, hexyloxy or decyloxy, Cl
or F, dimethylamino, diethylamino, methylamino, ethyl- amino,

or

in which A3 is alkyl having from 1 to 12 carbon atoms,
- Q
- is alkylene having from 1 to 10 carbon atoms, in which from 1 to 3 carbon atoms may
be replaced by -O-;
in If
- R1 and R2
- are each, independently of one another, OA1,
- A1 and A2
- are each, independently of one another, alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms,
- R3
- is NH2, NO2, methoxy, ethoxy, propoxy, isopropoxy, butoxy, pentoxy, hexyloxy or decyloxy, Cl
or F, dimethylamino, diethylamino, methylamino, ethyl- amino,

or

in which A3 is alkyl having from 1 to 12 carbon atoms,
- Q
- is methylene, ethylene, n-propylene, n-butylene, n-pentylene, n-hexylene or n-heptylene
or the following groups:
-CH
2CH
2OCH
2CH
2OCH
2CH
2-,
-CH
2CH
2OCH
2CH
2OCH
2CH
2-,
-CH
2CH
2CH
2OCH
2CH
2-,
-CH
2CH
2CH
2OCH
2CH
2OCH
2CH
2-,
-CH
2CH
2CH
2OCH
2CH
2CH
2OCH
2CH
2-,
-CH
2CH
2NHCH
2CH
2NHCH
2CH
2-,
-CH
2CH
2NHCH
2CH
2NHCH
2CH
2-.
-CH
2CH
2CH
2NHCH
2CH
2-,
-CH
2CH
2CH
2NHCH
2CH
2NHCH
2CH
2-,
-CH
2CH
2CH
2NHCH
2CH
2CH
2NHCH
2CH
2-,
-CH
2CH
2NA
1CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2NA
1CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2CH
2NA
1CH
2CH
2NA
1CH
2CH
2-,
-CH
2CH
2CH
2NA
1CH
2CH
2CH
2NA
1CH
2CH
2-,
in which A
1 is as defined above;
in Ig
- R1
- is ethoxy in the ortho-position to R2,
- R2
- is methoxy;
in Ih
- R1
- is ethoxy in the ortho-position to R2,
- R2
- is methoxy,
- A1 and A2
- are each, independently of one another, alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms,
- R3
- is A1, F, Cl, hydroxyl, NH2, OA1, NO2, alkylamino, cycloalkylamino, dialkylamino,

or

- Q
- is alkylene having from 1 to 10 carbon atoms, in which from 1 to 3 carbon atoms may
be replaced by -O-;
in li
- R1
- is cyclopentyloxy in the ortho-position to R2,
- R2
- is methoxy;
in lj
- R1
- is cyclopentyloxy in the ortho-position to R2,
- R2
- is methoxy,
- A1 and A2
- are each, independently of one another, alkyl having 1-12 carbon atoms or cycloalkyl
having 3-7 carbon atoms,
- R3
- is A1, F, Cl, hydroxyl, NH2, OA1, NO2, alkylamino, cycloalkylamino, dialkylamino,

or

- Q
- is alkylene having from 1 to 10 carbon atoms, in which from 1 to 3 carbon atoms may
be replaced by -O-.
[0089] The compounds of the formula I and also the starting materials for their preparation
are, prepared by methods known per se, as described in the literature (for example
in the standard works, such as Houben-Weyl, Methoden der organischen Chemie [Methods
of Organic Chemistry], Georg-Thieme-Verlag, Stuttgart), to be precise under reaction
conditions which are known and suitable for the said reactions. Use can also be made
here of variants which are known per se, but are not mentioned here in greater detail.
[0090] If L is a reactive esterified OH group, this is preferably alkylsulfonyloxy having
1-6 carbon atoms (preferably methylsulfonyloxy) or arylsulfonyloxy having 6-10 carbon
atoms (preferably phenyl- or p-tolylsulfonyloxy, furthermore also 2-naphthalenesulfonyloxy).
Furthermore, the reactive esterified OH group L can also be obtained in situ, for
example by reaction with polymeric or monomeric triphenylphosphine or other phosphines
and di-tert-butyl azodicarboxylate or analogous azodicarboxylates.
[0091] If desired, the starting materials can also be formed in situ by not isolating them
from the reaction mixture, but instead immediately converting them further into the
compounds of the formula I.
[0092] On the other hand, it is possible to carry out the reaction stepwise.
[0093] The compounds of the formula I can preferably be obtained by reacting compounds of
the formula II with compounds of the formula III.
[0094] Some of the starting materials of the formulae II and III are known. If they are
not known, they can be prepared by methods known per se.
[0095] In detail, the reaction of the compounds of the formula II with the compounds of
the formula III is carried out in the presence or absence of a solvent, preferably
an inert solvent, at temperatures between about -20 and about 150°, preferably between
20 and 100°.
[0096] Examples of suitable solvents are hydrocarbons, such as hexane, petroleum ether,
benzene, toluene or xylene; chlorinated hydrocarbons, such as trichloroethylene, 1,2-dichloroethane,
tetrachloromethane, chloroform or dichloromethane; alcohols, such as methanol, ethanol,
isopropanol, n-propanol, n-butanol or tert-butanol; ethers, such as diethyl ether,
diisopropyl ether, tetrahydrofuran (THF) or dioxane; glycol ethers, such as ethylene
glycol monomethyl or monoethyl ether or ethylene glycol dimethyl ether (diglyme);
ketones, such as acetone or butanone; amides, such as acetamide, dimethylacetamide
or dimethylformamide (DMF); nitriles, such as acetonitrile; sulfoxides, such as dimethyl
sulfoxide (DMSO); nitro compounds, such as nitromethane or nitrobenzene; esters, such
as ethyl acetate, or mixtures of the said solvents.
[0097] Compounds of the formula I can furthermore be obtained by reacting compounds of the
formula IV with compounds of the formula V. The starting compounds of the formulae
IV and V are generally known. If they are not known, they can be prepared by methods
known per se.
[0098] In the compounds of the formula III the radical -CO-L is a pre-activated carboxylic
acid, preferably a carboxylic acid halide.
[0099] The reaction of the compounds of the formula IV with compounds of the formula V is
carried out under the same conditions relating to the reaction time, temperature and
solvent as have been described for the reaction of the compounds of the formula II
with compounds of the formula III.
[0100] A compound within the scope of formula I may be such that its constituent atoms are
capable of being arranged in space in two or more different ways, despite having identical
connectivities. As a consequence, said compound exists in the form of stereoisomers.
Where the stereoisomers are nonsuperimposable mirror images of each other, they are
enantiomers which have chirality or handedness, because of the presence of one or
more asymmetric carbon atoms in their constituent structure. Enantiomers are optically
active and therefore distinguishable because they rotate the plane of polarized light
by equal amounts, but in opposite directions.
[0101] All of these well known aspects of the stereochemistry of the compounds of formula
I are contemplated to be a part of the present invention. Within the scope of the
present invention there is thus included compounds of formula I that are stereoisomers,
and where these are enantiomers, the individual enantiomers, racemic mixtures of said
enantiomers, and artificial, i.e., manufactured mixtures containing proportions of
said enantiomers that are different from the proportions of said enantiomers found
in a racemic mixture. Where a compound of formula I comprises stereoisomers that are
diastereomers, there is included within the scope of said compound the individual
diastereomers as well as mixtures of any two or more of said diastereomers in any
proportions thereof.
[0102] By way of illustration, in the case where there is a single asymmetric carbon atom
in a compound of formula I, resulting in the (-)(R) and (+)(S) enantiomers thereof,
there is included within the scope of said compound all pharmaceutically acceptable
salt forms thereof which are therapeutically active and useful in treating or preventing
the diseases and conditions described further herein. Where a compound of formula
I exists in the form of (-)(R) and (+)(S) enantiomers, there is also included within
the scope of said compound the (+)(S) enantiomer alone, or the (- )(R) enantiomer
alone, in the case where all, substantially all, or a predominant share of the therapeutic
activity resides in only one of said enantiomers, and/or unwanted side effects reside
in only one of said enantiomers. In the case where there is substantially no difference
between the biological activities of both enantiomers, there is further included within
the scope of said compound of formula I the (+)(S) enantiomer and the (-)(R) enantiomer
present together as a racemic mixture or as a non-racemic mixture in any ratio of
proportionate amounts thereof.
[0103] For example, the particular biological activities and/or physical and chemical properties
of a pair or set of enantiomers of a compound of formula I where such exist, may suggest
use of said enantiomers in certain ratios to constitute a final therapeutic product.
By way of illustration, in the case where there is a pair of enantiomers, they may
be employed in ratios such as 90% (R) - 10% (S); 80% (R) - 20% (S); 70% (R) - 30%
(S); 60% (R) - 40% (S); 50% (R) - 50% (S); 40% (R) - 60% (S); 30% (R) - 70% (S); 20%
(R) - 80% (S); and 10% (R) - 90% (S). After evaluating the properties of the various
enantiomers of a compound of formula I where such exist, the proportionate amount
of one or more of said enantiomers with certain desired properties that will constitute
the final therapeutic product can be determined in a straightforward manner.
[0104] The invention therefor also relates to the optically active forms (stereoisomers),
the enantiomers, the racemates, the diastereomers and the salts and solvates of these
compounds. The term solvates of the compounds is taken to mean adductions of inert
solvent molecules onto the compounds which form owing to their mutual attractive force.
Solvates are, for example, monohydrates or dihydrates or alcoholates.
[0105] The term pharmaceutically usable derivatives is taken to mean the salts of the compounds
according to the invention.
[0106] The invention also relates to mixtures of the compounds of the formula I according
to the invention, for example mixtures of two diastereomers, for example in the ratio
1:1, 1:2, 1:3, 1:4, 1:5, 1:10, 1:100 or 1:1000. These are particularly preferably
mixtures of stereoisomeric compounds.
[0107] A base of the formula I can be converted into the associated acid-addition salt using
an acid, for example by reaction of equivalent amounts of the base and the acid in
a solvent, preferably an inert solvent such as ethanol, followed by evaporation. Suitable
acids for this reaction are, in particular, those which give physiologically acceptable
acids. Thus, it is possible to use inorganic acids, for example sulfuric acid, nitric
acid, hydrohalic acids, such as hydrochloric acid or hydrobromic acid, phosphoric
acids, such as orthophosphoric acid, or sulfamic acid, furthermore organic acids,
in particular aliphatic, alicyclic, araliphatic, aromatic or heterocyclic monobasic
or polybasic carboxylic, sulfonic or sulfuric acids, for example formic acid, acetic
acid, propionic acid, pivalic acid, diethylacetic acid, malonic acid, succinic acid,
pimelic acid, fumaric acid, maleic acid, lactic acid, tartaric acid, malic acid, citric
acid, gluconic acid, ascorbic acid, nicotinic acid, isonicotinic acid, methane- or
ethanesulfonic acid, ethanedisulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulfonic
acid, p-toluenesulfonic acid, naphthalenemono- and -disulfonic acids, or laurylsulfuric
acid. Salts with physiologically unacceptable acids, for example picrates, can be
used for the isolation and/or purification of the compounds of the formula I.
[0108] On the other hand, if desired, the free bases of the formula I can be liberated from
their salts using bases (for example sodium hydroxide, potassium hydroxide, sodium
carbonate or potassium carbonate).
[0109] The invention relates to compounds of the formula I and physiologically acceptable
salts and solvates thereof as medicaments.
[0110] The invention furthermore relates to the use of the compounds of the formula I and/or
physiologically acceptable salts and/or solvates thereof for the preparation of pharmaceutical
preparations, in particular by non-chemical methods. In this case, they can be converted
into a suitable dosage form together with at least one solid, liquid and/or semi-liquid
excipient or assistant and, if desired, in combination with one or more further active
ingredients.
[0111] The invention furthermore relates to pharmaceutical preparations comprising at least
one compound of the formula I and/or one of its physiologically acceptable salts and/or
solvates.
[0114] The affinity of the compounds of the invention for phosphodiesterase IV is measured
by determining their IC
50 values (the concentration of inhibitor required to achieve 50% inhibition of the
enzyme activity).
[0115] Preferably, the invention provides for the use of the compounds mentioned above for
preparing a medicament for treating myocardial diseases, where said myocardial diseases
show inflammatory and immunological characteristics.
[0116] Most preferably, the invention provides for the use of the compounds of formula I
for preparing a medicament for treating coronary artery disease, reversible or irreversible
myocardial ischemia/reperfusion injury, acute or chronic heart failure and restenosis,
including instent-restenosis and stent-in-stent-restenosis.
[0117] Moreover, the invention provides for the use of the compounds mentioned above for
preparing a medicament for treating ventricular remodeling after infarction or congestive
heart failure of different severity (according to NYHA class I to IV).
[0118] The preparations for the treatment of the mentioned diseases can be used as medicaments
in human or veterinary medicine. Suitable excipients are organic or inorganic substances
which are suitable for enteral (for example oral), parenteral, topical or nasal (for
example in the form of nasal spray) administration and do no react with the novel
compounds, for example water, vegetable oils, benzyl alcohols, alkylene glycols, polyethylene
glycols, glycerol triacetate, gelatine, carbohydrates, such as lactose or starch,
magnesium stearates, talc or vaseline. Suitable for oral administration are, in particular,
tablets, pills, coated tablets, capsules, powders, granules, syrups, juices or drops,
suitable for rectal administration are suppositories, suitable for parenteral administration
are solutions, preferably oil-based or aqueous solutions, furthermore suspensions,
emulsions or implants, and suitable for topical application are ointments, creams
or powders. The novel compounds may also be lyophilised and the resultant lyophilisates
used, for example, for the preparation of injection preparations. The preparations
indicated may be sterilised and/or comprise assistants, such as lubricants, preservatives,
stabilisers and/or wetting agents, emulsifiers, salts for modifying the osmotic pressure,
buffer substances, colorants and flavours and/or one or more further active ingredients,
for example one or more vitamins.
[0119] The description which follows concerns the manner in which the preferred compounds
as defined above, together with other therapeutic agents or non-therapeutic agents
where these are desired, are combined with what are for the most part conventional
pharmaceutically acceptable carriers to form dosage forms suitable for the different
routes of administration which are utilized for any given patient, as well as appropriate
to the disease, disorder, or condition for which any given patient is being treated.
[0120] The pharmaceutical compositions of the present invention comprise any one or more
of the above-described inhibitory compounds of the present invention, or a pharmaceutically
acceptable salt thereof as also above-described, together with a pharmaceutically
acceptable carrier in accordance with the properties and expected performance of such
carriers which are well-known in the pertinent art.
[0121] The amount of active ingredient that may be combined with the carrier materials to
produce a single dosage form will vary depending upon the host treated, and the particular
mode of administration. It should be understood, however, that a specific dosage and
treatment regimen for any particular patient will depend upon a variety of factors,
including the activity of the specific compound employed, the age, body weight, general
health, sex, diet, time of administration, rate of excretion, drug combination, and
the judgment of the treating physician and the severity of the particular disease
being treated. The amount of active ingredient may also depend upon the therapeutic
or prophylactic agent, if any, with which the ingredient is co-administered.
[0122] The preferred compounds may be utilized in the form of acids, esters, or other chemical
classes of compounds to which the compounds described belong. It is also within the
scope of the present invention to utilize those compounds in the form of pharmaceutically
acceptable salts derived from various organic and inorganic acids and bases. An active
ingredient comprising a preferred compound is often utilized in the form of a salt
thereof, especially where said salt form confers on said active ingredient improved
pharmacokinetic properties as compared to the free form of said active ingredient
or some other salt form of said active ingredient utilized previously. The pharmaceutically
acceptable salt form of said active ingredient may also initially confer a desirable
pharmacokinetic property on said active ingredient which it did not previously possess,
and may even positively affect the pharmacodynamics of said active ingredient with
respect to its therapeutic activity in the body.
[0123] The pharmacokinetic properties of said active ingredient which may be favorably affected
include, e.g., the manner in which said active ingredient is transported across cell
membranes, which in turn may directly and positively affect the absorption, distribution,
biotransformation and excretion of said active ingredient. While the route of administration
of the pharmaceutical composition is important, and various anatomical, physiological
and pathological factors can critically affect bioavailability, the solubility of
said active ingredient is usually dependent upon the character of the particular salt
form thereof which it utilized. Further, as the artisan understands, an aqueous solution
of said active ingredient will provide the most rapid absorption of said active ingredient
into the body of a patient being treated, while lipid solutions and suspensions, as
well as solid dosage forms, will result in less rapid absorption of said active ingredient.
Oral ingestion of said active ingredient is the most preferred route of administration
for reasons of safety, convenience, and economy, but absorption of such an oral dosage
form can be adversely affected by physical characteristics such as polarity, emesis
caused by irritation of the gastrointestinal mucosa, destruction by digestive enzymes
and low pH, irregular absorption or propulsion in the presence of food or other drugs,
and metabolism by enzymes of the mucosa, the intestinal flora, or the liver. Formulation
of said active ingredient into different harmaceutically acceptable salt forms may
be effective in overcoming or alleviating one or more of the above- recited problems
encountered with absorption of oral dosage forms.
[0124] Among the pharmaceutical salts recited further above, those which are preferred include,
but are not limited to acetate, besylate, citrate, fumarate, gluconate, hemisuccinate,
hippurate, hydrochloride, hydrobromide, isethionate, mandelate, meglumine, nitrate,
oleate, phosphonate, pivalate, sodium phosphate, stearate, sulfate, sulfosalicylate,
tartrate, thiomalate, tosylate, and tromethamine.
[0125] Multiple salts forms are included within the scope of the present invention where
a preferred compound of the present invention contains more than one group capable
of forming such pharmaceutically acceptable salts. Examples of typical multiple salt
forms include, but are not limited to bitartrate, diacetate, difumarate, dimeglumine,
diphosphate, disodium, and trihydrochloride.
[0126] The pharmaceutical compositions of the present invention comprise any one or more
of the above-described inhibitory compounds as defined in claims 1, 2 or 3, or a pharmaceutically
acceptable salt thereof as also above-described, together with a pharmaceutically
acceptable carrier in accordance with the properties and expected performance of such
carriers which are well-known in the pertinent art.
[0127] The term "carrier" as used herein includes acceptable diluents, excipients, adjuvants,
vehicles, solubilization aids, viscosity modifiers, preservatives and other agents
well known to the artisan for providing favorable properties in the final pharmaceutical
composition. In order to illustrate such carriers, there follows a brief survey of
pharmaceutically acceptable carriers that may be used in the pharmaceutical compositions
of the present invention, and thereafter a more detailed description of the various
types of ingredients. Typical carriers include but are by no means limited to, ion
exchange compositions; alumina; aluminum stearate; lecithin; serum proteins, e.g.,
human serum albumin; phosphates; glycine; sorbic acid; potassium sorbate; partial
glyceride mixtures of saturated vegetable fatty acids; hydrogenated palm oils water;
salts or electrolytes, e.g., prolamine sulfate, disodium hydrogen phosphate, potassium
hydrogen phosphate, sodium chloride, and zinc salts; colloidal silica; magnesium trisilicate;
polyvinyl pyrrolidone; cellulose-based substances; e.g., sodium carboxymethylcellulose;
polyethylene glycol; polyacrylates; waxes; polyethylenepolyoxypropylene-block polymers;
and wool fat.
[0128] More particularly, the carriers used in the pharmaceutical compositions of the present
invention comprise various classes and species of additives which are members independently
selected from the groups consisting essentially of those recited in the following
paragraphs.
[0129] Acidifying and alkalizing agents are added to obtain a desired or predetermined pH
and comprise acidifying agents, e.g., acetic acid, glacial acetic acid, malic acid,
and propionic acid. Stronger acids such as hydrochloric acid, nitric acid and sulfuric
acid may be used but are less preferred. Alkalizing agents include, e.g., edetol,
potassium carbonate, potassium hydroxide, sodium borate, sodium carbonate, and sodium
hydroxide. Alkalizing agents which contain active amine groups, such as diethanolamine
and trolamine, may also be used.
[0130] Aerosol propellants are required where the pharmaceutical composition is to be delivered
as an aerosol under significant pressure. Such propellants include, e.g., acceptable
fluorochlorohydrocarbons such as dichlorodifluoromethane, dichlorotetrafluoroethane,
and trichloromonofluoromethane; nitrogen; or a volatile hydrocarbon such as butane,
propane, isobutane or mixtures thereof.
[0131] Antimicrobial agents including antibacterial, antifungal and antiprotozoal agents
are added where the pharmaceutical composition is topically applied to areas of the
skin which are likely to have suffered adverse conditions or sustained abrasions or
cuts which expose the skin to infection by bacteria, fungi or protozoa. Antimicrobial
agents include such compounds as benzyl alcohol, chlorobutanol, phenylethyl alcohol,
phenylmercuric acetate, potassium sorbate, and sorbic acid. Antifungal agents include
such compounds as benzoic acid, butylparaben, ethylparaben, methylparaben, propylparaben,
and sodium benzoate.
[0132] Antimicrobial preservatives are added to the pharmaceutical compositions of the present
invention in order to protect them against the growth of potentially harmful microorganisms,
which usually invade the aqueous phase, but in some cases can also grow in the oil
phase of a composition. Thus, preservatives with both aqueous and lipid solubility
are desirable. Suitable antimicrobial preservatives include, e.g., alkyl esters of
p-hydroxybenzoic acid, propionate salts, phenoxyethanol, methylparaben sodium, propylparaben
sodium, sodium dehydroacetate, benzalkonium chloride, benzethonium chloride, benzyl
alcohol, hydantoin derivatives, quaternary ammonium compounds and cationic polymers,
imidazolidinyl urea, diazolidinyl urea, and trisodium ethylenediamine tetracetate
(EDTA). Preservatives, are preferably employed in amounts ranging from about 0.01
% to about 2.0% by weight of the total composition.
[0133] Antioxidants are added to protect all of the ingredients of the pharmaceutical composition
from damage or degradation by oxidizing agents present in the composition itself or
the use environment, e.g., anoxomer, ascorbyl palmitate, butylated hydroxyanisole,
butylated hydroxytoluene, hypophosphorous acid, potassium metabisulfite, propyl octyl
and dodecyl gallate, sodium metabisulfite, sulfur dioxide, and tocopherols.
[0134] Buffering agents are used to maintain a desired pH of a composition once established,
from the effects of outside agents and shifting equilibria of components of the composition.
The buffering may be selected from among those familiar to the artisan skilled in
the preparation of pharmaceutical compositions, e. g., calcium, acetate, potassium
metaphosphate, potassium phosphate monobasic, and tartaric acid.
[0135] Chelating agents are used to help maintain the ionic strength of the pharmaceutical
composition and bind to and effectively remove destructive compounds and metals, and
include, e.g., edetate dipotassium, edetate disodium, and edetic acid.
[0136] Dermatologically active agents are added to the pharmaceutical compositions of the
present invention where they are to be applied topically, and include, e.g., wound
healing agents such as peptide derivatives, yeast, panthenol, hexylresorcinol, phenol,
tetracycline hydrochloride, lamin and kinetin; retinoids for treating skin cancer,
e.g., retinol, tretinoin, isotretinoin, etretinate, acitretin, and arotinoid; mild
antibacterial agents for treating skin infections, e.g., resorcinol, salicylic acid,
benzoyl peroxide, erythromycin-benzoyl peroxide, erythromycin, and clindamycin; antifungal
agents for treating tinea corporis, tinea pedis, candidiasis and tinea versicolor,
e.g., griseofulvin, azoles such as miconazole, econazole, itraconazole, fluconazole,
and ketoconazole, and allylamines such as naftifine and terfinafine; antiviral agents
for treating cutaneous herpes simplex, herpes zoster, and chickenpox, e.g., acyclovir,
famciclovir, and valacyclovir; antihistamines for treating pruritis, atopic and contact
dermatitis, e.g., diphenhydramine, terfenadine, asternizole, loratadine, cetirizi,
ne, acrivastine, and temelastine; topical anesthetics for relieving pain, irritation
and itching, e.g., benzocaine, lidocaine, dibucaine, and pramoxine hydrochloride;
topical analgesics for relieving pain and inflammation, e.g., methyl salicylate, camphor,
menthol, and resorcinol; topical antiseptics for preventing infection, e.g., benzalkonium
chloride and povidone-iodine; and vitamins and derivatives thereof such as tocopherol,
tocopherol acetate, retinoic acid and retinol.
[0137] Dispersing and suspending agents are used as aids for the preparation of stable formulations
and include, e.g., poligeenan, povidone, and silicon dioxide.
[0138] Emollients are agents, preferably non-oily and water-soluble, which soften and soothe
the skin, especially skin that has become dry because of excessive loss of water.
Such agents are used with pharmaceutical compositions of the present invention which
are intended for topical applications, and include, e.g., hydrocarbon oils and waxes,
triglyceride esters, acetylated monoglycerides, methyl and other alkyl esters of C
10 - C
20 fatty acids, C
10 - C
20 fatty acids, C
10 -C
20 fatty alcohols, lanolin and derivatives, polyhydric alcohol esters such as polyethylene
glycol (200-600), polyoxyethylene sorbitan fatty acid esters, wax esters, phospholipids,
and sterols; emulsifying agents used for preparing oil-in-water emulsions; excipients,
e.g., laurocapram and polyethylene glycol monomethyl ether; humectants, e.g., sorbitol,
glycerin and hyaluronic acid; ointment bases, e.g., petrolatum, polyethylene glycol,
lanolin, and poloxamer; penetration enhancers, e.g., dimethyl isosorbide, diethyl-glycol
monoethylether, 1-dodecylazacycloheptan-2-one, and dimethylsulfoxide (DMSO); preservatives,
e.g., benzalkonium chloride, benzethonium chloride, alkyl esters of p hydroxybenzoic
acid, hydantoin derivatives, cetylpyridinium chloride, propylparaben, quaternary ammonium
compounds such as potassium benzoate, and thimerosal; sequestering agents comprising
cyclodextrins; solvents, e.g., acetone, alcohol, amylene hydrate, butyl alcohol, corn
oil, cottonseed oil, ethyl acetate, glycerin, hexylene glycol, isopropyl alcohol,
isostearyl alcohol, methyl alcohol, methylene chloride, mineral oil, peanut oil, phosphoric
acid, polyethylene glycol, polyoxypropylene 15 stearyl ether, propylene glycol, propylene
glycol diacetate, sesame oil, and purified water; stabilizers, e.g., calcium saccharate
and thymol; surfactants, e.g., lapyrium chloride; laureth 4, ie., α-dodecyl-ω-hydroxy-poly(oxy-1,2-ethanediyl)
or polyethylene glycol monododecyl ether.
[0139] Emulsifying agents, including emulsifying and stiffening agents and emulsion adjuncts,
are used for preparing oil-in-water emulsions when these form the basis of the pharmaceutical
compositions of the present invention. Such emulsifying agents include, e.g., non-ionic
emulsifiers such as C
10 -C
20 fatty alcohols and said fatty alcohols condensed with from 2 to 20 moles of ethylene
oxide or propylene oxide, (C
6 -C
12)alkyl phenols condensed with from 2 to 20 moles of ethylene oxide, mono- and di-C
10 - C
20 fatty acid esters of ethylene glycol, C
10 -C
20 fatty acid monoglyceride, diethylene glycol, polyethylene glycols of MW 200 6000,
polypropylene glycols of MW 200-3000, and particularly sorbitol, sorbitan, polyoxyethylene
sorbitol, polyoxyethylene sorbitan, hydrophilic wax esters, cetostearyl alcohol, oleyl
alcohol, lanolin alcohols, cholesterol, mono- and di-glycerides, glyceryl monostearate,
polyethylene glycol monostearate, mixed mono- and distearic esters of ethylene glycol
and polyoxyethylene glycol, propylene glycol monostearate, and hydroxypropyl cellulose.
Emulsifying agents which contain active amine groups may also be used and typically
include anionic emulsifiers such as fatty acid soaps, e.g., sodium, potassium and
triethanolamine soaps of C
10 -C
20 fatty acids; alkali metal, ammonium or substituted ammonium (C
10 -C
30)alkyl sulfates, (C
10 -C
30)alkyl sulfonates, and (C
10-C
50)alkyl ethoxy ether sulfonates. Other suitable emulsifying agents include castor oil
and hydrogenated castor oil; lecithin; and polymers of 2-propenoic acid together with
polymers of acrylic acid, both cross-linked with allyl ethers of sucrose and/or pentaerythritol,
having varying viscosities and identified by product names carbomer 910, 934, 934P,
940, 941, and 1342. Cationic emulsifiers having active amine groups may also be used,
including those based on quaternary ammonium, morpholinium and pyridinium compounds.
Similarly, amphoteric emulsifiers having active amine groups, such as cocobetaines,
lauryl dimethylamine oxide and cocoylimidazoline, may be used. Useful emulsifying
and stiffening agents also include cetyl alcohol and sodium stearate; and emulsion
adjuncts such as oleic acid, stearic acid, and stearyl alcohol.
[0140] Excipients include, e.g., laurocapram and polyethylene glycol monomethyl ether.
[0141] Where the pharmaceutical composition of the present invention is to be applied topically,
penetration enhancers may be used, which include, e.g., dimethyl isosorbide, diethyl-glycol-monoethylether,
1-dodecylazacycloheptan-2-one, and dimethylsulfoxide (DMSO). Such compositions will
also typically include ointment bases, e.g., petrolatum, polyethylene glycol, lanolin,
and poloxamer, which is a block copolymer of polyoxyethylene and polyoxypropylene,
which may also serve as a surfactant or emulsifying agent.
[0142] Preservatives are used to protect pharmaceutical compositions of the present invention
from degradative attack by ambient microorganisms, and include, e.g., benzalkonium
chloride, benzethonium chloride, alkyl esters of p-hydroxybenzoic acid, hydantoin
derivatives, cetylpyridinium chloride, monothioglycerol, phenol, phenoxyethanol, methylparagen,
imidazolidinyl urea, sodium dehydroacetate, propylparaben, quaternary ammonium compounds,
especially polymers such as polixetonium chloride, potassium benzoate, sodium formaldehyde
sulfoxylate, sodium propionate, and thimerosal.
[0143] Sequestering agents are used to improve the stability of the pharmaceutical compositions
of the present invention and include, e.g., the cyclodextrins which are a family of
natural cyclic oligosaccharides capable of forming inclusion complexes with a variety
of materials, and are of varying ring sizes, those having 6-, 7- and 8-glucose residues
in a ring being commonly referred to as α-cyclodextrins, β-cyclodextrins, and γ-cyclodextrins,
respectively. Suitable cyclodextrins include, e.g., α-cyclodextrin, β-cyclodextrin,
γ-cyclodextrin, δ-cyclodextrin and cationized cyclodextrins.
[0144] Solvents which may be used in preparing the pharmaceutical compositions of the present
invention include, e.g., acetone, alcohol, amylene hydrate, butyl alcohol, corn oil,
cottonseed oil, ethyl acetate, glycerin, hexylene glycol, isopropyl alcohol, isostearyl
alcohol, methyl alcohol, methylene chloride, mineral oil, peanut oil, phosphoric acid,
polyethylene glycol, polyoxypropylene 15 stearyl ether, propylene glycol, propylene
glycol diacetate, sesame oil, and purified water.
[0145] Stabilizers which are suitable for use include, e.g., calcium saccharate and thymol.
[0146] Stiffening agents are typically used in formulations for topical applications in
order to provide desired viscosity and handling characteristics and include, e.g.,
cetyl esters wax, myristyl alcohol, parafin, synthetic parafin, emulsifying wax, microcrystalline
wax, white wax and yellow wax.
[0147] Sugars are often used to impart a variety of desired characteristics to the pharmaceutical
compositions of the present invention and in order to improve the results obtained,
and include, e.g., monosaccharides, disaccharides and polysaccharides such as glucose,
xylose, fructose, reose, ribose, pentose, arabinose, allose, tallose, altrose, mannose,
galactose, lactose, sucrose, erythrose, glyceraldehyde, or any combination thereof.
[0148] Surfactants are employed to provide stability for multi-component pharmaceutical
compositions of the present invention, enhance existing properties of those compositions,
and bestow desirable new characteristics on said compositions. Surfactants are used
as wetting agents, antifoam agents, for reducing the surface tension of water, and
as emulsifiers, dispersing agents and penetrants, and include, e.g., lapyrium chloride;
laureth 4, i.e., α-dodecyl-ω-hydroxy-poly(oxy-1,2-ethanediyl) or polyethylene glycol
monododecyl ether; laureth 9, i.e., a mixture of polyethylene glycol monododecyl ethers
averaging about 9 ethylene oxide groups per molecule; monoethanolamine; nonoxynol
4, 9 and 10, i.e., polyethylene glycol mono(p-nonylphenyl) ether; nonoxynol 15, i.
e., α-(p-nonylphenyl)-ω-hydroxypenta-deca(oxyethylene); nonoxynol 30, i.e., a-(p-nonylphenyl)-ω-hydroxytriaconta(oxyethylene);
poloxalene, i.e., nonionic polymer of the polyethylenepolypropylene glycol type, MW
= approx. 3000; poloxamer, referred to in the discussion of ointment bases further
above; polyoxyl 8, 40 and 50 stearate, i.e., poly(oxy-1,2-ethanediyl), α-hydro-ω-hydroxy-;
octadecanoate; polyoxyl 10 oleyl ether, i.e., poly(oxy-1,2-ethanediyl), α-[(Z)-9-octadecenyl-ω-hydroxy-;
polysorbate 20, i.e., sorbitan, monododecanoate, poly(oxy-1,2-ethanediyl); polysorbate
40, i.e., sorbitan, monohexadecanoate, poly(oxy-1,2-ethanediyl); polysorbate 60, i.e.,
sorbitan, monooctadecanoate, poly(oxy-1,2-ethanediyl); polysorbate 65, i.e., sorbitan,
trioctadecanoate, poly(oxy-1,2-ethanediyl); polysorbate 80, i.e., sorbitan, mono-9
-monodecenoate, poly(oxy-1,2-ethanediyl); polysorbate 85, i.e., sorbitan, tri-9-octadecenoate,
poly(oxy-1,2-ethanediyl); sodium lauryl sulfate; sorbitan monolaurate; sorbitan monooleate;
sorbitan monopalmitate; sorbitan monostearate; sorbitan sesquioleate; sorbitan trioleate;
and sorbitan tristearate.
[0149] The pharmaceutical compositions of the present invention may be prepared using very
straightforward methodology which is well understood by the artisan of ordinary skill.
Where the pharmaceutical compositions of the present invention are simple aqueous
and/or other solvent solutions, the various components of the overall composition
are brought together in any practical order, which will be dictated largely by considerations
of convenience. Those components having reduced water solubility, but sufficient solubility
in the same co-solvent with water, may all be dissolved in said co-solvent, after
which the co- solvent solution will be added to the water portion of the carrier whereupon
the solutes therein will become dissolved in the water. To aid in this dispersion/solution
process, a surfactant may be employed.
[0150] Where the pharmaceutical compositions of the present invention are to be in the form
of emulsions, the components of the pharmaceutical composition will be brought together
in accordance with the following general procedures. The continuous water phase is
first heated to a temperature in the range of from about 60° to about 95°C, preferably
from about 70° to about 85°C, the choice of which temperature to use being dependent
upon the physical and chemical properties of the components which make up the oil-in-water
emulsion. Once the continuous water phase has reached its selected temperature, the
components of the final composition to be added at this stage are admixed with the
water and dispersed therein under high-speed agitation. Next, the temperature of the
water is restored to approximately its original level, after which the components
of the composition which comprise the next stage are added to the composition mixture
under moderate agitation and mixing continues for from about 5 to about 60 minutes,
preferably about 10 to about 30 minutes, depending on the components of the first
two stages. Thereafter, the composition mixture is passively or actively cooled to
from about 20° to about 55°C for addition of any components in the remaining stages,
after which water is added in sufficient quantity to reach its original predetermined
concentration in the overall composition.
[0151] According to the present invention, the pharmaceutical compositions may be in the
form of a sterile injectable preparation, for example a sterile injectable aqueous
or oleaginous suspension. This suspension may be formulated according to techniques
known in the art using suitable dispersing or wetting agents and suspending agents.
The sterile injectable preparation may also be a sterile injectable solution or suspension
in a non-toxic parenterally acceptable diluent or solvent, for example as a solution
in 1,3- butanediol. Among the acceptable vehicles and solvents that may be employed
are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile,
fixed oils are conventionally employed as a solvent or suspending medium. For this
purpose, any bland fixed oil may be employed including synthetic mono- or di-glycerides.
Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation
of injectables, as do natural pharmaceutically acceptable oils, such as olive oil
or castor oil, especially in their polyoxyethylated versions. These oil solutions
or suspensions may also contain a long-chain alcohol diluent or dispersant, such as
Rh, HCIX or similar alcohol.
[0152] The pharmaceutical compositions of the present invention may be orally administered
in any orally acceptable dosage form including, but not limited to, capsules, tablets,
aqueous suspensions or solutions. In the case of tablets for oral use, carriers which
are commonly used include lactose and corn starch. Lubricating agents, such as magnesium
stearate, are also typically added. For oral administration in a capsule form, useful
diluents include lactose and dried corn starch. When aqueous suspensions are required
for oral use, the active ingredient is combined with emulsifying and suspending agents.
If desired, certain sweetening, flavoring or coloring agents may also be added. Alternatively,
the pharmaceutical compositions of this invention may be administered in the form
of suppositories for rectal administration. These can be prepared by mixing the agent
with a suitable non-irritating excipient which is solid at room temperature but liquid
at the rectal temperature and therefore will melt in the rectum to release the drug.
Such materials include cocoa butter, beeswax and polyethylene glycols.
[0153] The pharmaceutical compositions of the present invention may also be administered
topically, especially when the target of treatment includes areas or organs readily
accessible by topical application, including diseases of the eye, the skin, or the
lower intestinal tract. Suitable topical formulations are readily prepared for each
of these areas or organs.
[0154] Topical application for the lower intestinal tract can be effected in a rectal suppository
formulation, as described above, or in a suitable enema formulation. Topically active
transdermal patches may also be used.
[0155] For topical applications, the pharmaceutical compositions may be formulated in a
suitable ointment containing the active component suspended or dissolved in one or
more carriers. Carriers for topical administration of the compounds of this invention
include, but are not limited to, mineral oil, liquid petrolatum, white petrolatum,
propylene glycol, polyoxyethylene, polyoxypropylene compound, emulsifying wax and
water. Alternatively, the pharmaceutical compositions can be formulated in a suitable
lotion or cream containing the active components suspended or dissolved in one or
more pharmaceutically acceptable carriers. Suitable carriers include, but are not
limited to, mineral oil, sorbitan monostearate, polysorbate, cetyl esters wax, cetearyl
alcohol, 2- octyldodecanol, benzyl alcohol and water.
[0156] Pharmaceutical compositions within the scope of the present invention include those
wherein the therapeutically effective amount of an active ingredient comprising a
preferred compound required for treating or preventing diseases, disorders, and conditions
mediated by or associated with modulation of PDE IV activity as described herein,
is provided in a dosage form suitable for systemic administration. Such a pharmaceutical
composition will contain said active ingredient in suitable liquid form for delivery
by: (1) injection or infusion which is intraarterial, intra- or transdermal, subcutaneous,
intramuscular, intraspinal, intrathecal, or intravenous, wherein said active ingredient:
(a) is contained in solution as a solute; (b) is contained in the discontinuous phase
of an emulsion, or the discontinuous phase of an inverse emulsion which inverts upon
injection or infusion, said emulsions containing suitable emulsifying agents; or (c)
is contained in a suspension as a suspended solid in colloidal or microparticulate
form, said suspension containing suitable suspending agents; (2) injection or infusion
into suitable body tissues or cavities as a depot, wherein said composition provides
storage of said active ingredient and thereafter delayed-, sustained-, and/or controlled-release
of said active ingredient for systemic distribution; (3) instillation, inhalation
or insufflation into suitable body tissues or cavities of said pharmaceutical composition
in suitable solid form, where said active ingredient: (a) is contained in a solid
implant composition providing delayed-, sustained-, and/or controlled-release of said
active ingredient; (b) is contained in a particulate composition to be inhaled into
the lungs; or (c) is contained in a particulate composition to be blown into suitable
body tissues or cavities, where said composition optionally provides delayed-, sustained-,
and/or controlled-release of said active ingredient; or (4) ingestion of said pharmaceutical
composition in suitable solid or liquid form for peroral delivery of said active ingredient,
where said active ingredient is contained in a solid dosage form; or (b) is contained
in a liquid dosage form.
[0157] Particular dosage forms of the above-described pharmaceutical compositions include
(1) suppositories as a special type of implant, comprising bases which are solid at
room temperature but melt at body temperature, slowly releasing the active ingredient
with which they are impregnated into the surrounding tissue of the body, where the
active ingredient becomes absorbed and transported to effect systemic administration;
(2) solid peroral dosage forms selected from the group consisting of (a) delayed-release
oral tablets, capsules, caplets, lozenges, troches, and multiparticulates; (b) enteric-coated
tablets and capsules which prevent release and absorption in the stomach to facilitate
delivery distal to the stomach of the patient being treated; (c) sustained-release
oral tablets, capsules and microparticulates which provide systemic delivery of the
active ingredient in a controlled manner up to a 24-hour period; (d) fast-dissolving
tablets; (e) encapsulated solutions; (f) an oral paste; (g) a granular form incorporated
in or to be incorporated in the food of a patient being treated; and (h) liquid peroral
dosage forms selected from the group consisting of solutions, suspensions, emulsions,
inverse emulsions, elixirs, extracts, tinctures, and concentrates.
[0158] Pharmaceutical compositions within the scope of the present invention include those
wherein the therapeutically effective amount of an active ingredient comprising a
compound of the present invention required for treating or preventing diseases, disorders,
and conditions mediated by or associated with modulation of PDE IV activity as described
herein is provided in a dosage form suitable for local administration to a patient
being treated, wherein said pharmaceutical composition contains said active ingredient
in suitable liquid form for delivering said active ingredient by: (1) injection or
infusion into a local site which is intraarterial, intraarticular, intrachondrial,
intracostal, intracystic, intra- or transdermal, intrafasicular, intraligamentous,
intramedulary, intramuscular, intranasal, intraneural, intraocular, i.e., opthalmic
administration, intraosteal, intrapelvic, intrapericardial, intraspinal, intrasternal,
intrasynovial, intratarsal, or intrathecal; including components which provide delayed-release,
controlled-release, and/or sustained-release of said active ingredient into said local
site; where said active ingredient is contained: (a) in solution as a solute; (b)
in the discontinuous phase of an emulsion, or the discontinuous phase of an inverse
emulsion which inverts upon injection or infusion, said emulsions containing suitable
emulsifying agents; or (c) in a suspension as a suspended solid in colloidal or microparticulate
form, said suspension containing suitable suspending agents; or (2) injection or infusion
as a depot for delivering said active ingredient to said local site; wherein said
composition provides storage of said active ingredient and thereafter delayed-, sustained-,
and/or controlled- release of said active ingredient into said local site, and wherein
said composition also includes components which ensure that said active ingredient
has predominantly local activity, with little systemic carryover activity; or wherein
said pharmaceutical composition contains said active ingredient in suitable solid
form for delivering said inhibitor by: (3) instillation, inhalation or insufflation
to said local site, where said active ingredient is contained: (a) in a solid implant
composition which is installed in said local site, said composition optionally providing
delayed-, sustained-, and/or controlled-release of said active ingredient to said
local site; (b) in a particulate composition which is inhaled into a local site comprising
the lungs; or (c) in a particulate composition which is blown into a local site, where
said composition includes components which will ensure that said active ingredient
has predominantly local activity, with insignificant sys temic carryover activity,
and optionally provides delayed-, sustained- , and/or controlled release of said active
ingredient to said local site. For ophthalmic use, the pharmaceutical compositions
may be formulated as micronized suspension in isotonic, pH adjusted sterile saline,
or, preferably, as solutions in isotonic, pH adjusted sterile saline, either with
our without a preservative such as benzylalkonium chloride. Alternatively, for ophthalmic
uses, the pharmaceutical compositions may be formulated in an ointment such as petrolatum.
[0159] The pharmaceutical compositions of the present invention may also be administered
by nasal aerosol or inhalation through the use of a nebulizer, a dry powder inhaler
or a metered dose inhaler. Such compositions are prepared according to techniques
well-known in the art of pharmaceutical formulation and may be prepared as solutions
in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters
to enhance bioavailability, hydrofluorocarbons, and/or other conventional solubilizing
or dispersing agents.
[0160] As already mentioned, the preferred compounds of the present invention may be administered
systemically to a patient to be treated as a pharmaceutical composition in suitable
liquid form by injection or infusion. There are a number of sites and organ systems
in the body of the patient which will allow the properly formulated pharmaceutical
composition, once injected or infused, to permeate the entire body and all of the
organ system of the patient being treated. An injection is a single dose of the pharmaceutical
composition forced, usually by a syringe, into the tissue involved. The most common
types of injections are intramuscular, intravenous, and subcutaneous. By contrast,
an infusion is the gradual introduction of the pharmaceutical composition into the
tissue involved. The most common type of infusion is intravenous. Other types of injection
or infusion comprise intraarterial, intra- or transdermal (including subcutaneous),
or intraspinal especially intrathecal. In these liquid pharmaceutical compositions,
the active ingredient may be contained in solution as the solute. This is the most
common and most preferred type of such composition, but requires an active ingredient
in a salt form that has reasonably good aqueous solubility. Water (or saline) is by
far the most preferred solvent for such compositions. Occasionally supersaturated
solutions may be utilized, but these present stability problems that make them impractical
for use on an everyday basis.
[0161] If it is not possible to obtain a form of some preferred compound that has the requisite
degree of aqueous solubility, as may sometimes occur, it is, within the skill of the
artisan to prepare an emulsion, which is a dispersion of small globules of one liquid,
the discontinuous or internal phase, throughout a second liquid, the continuous or
external phase, with which it is immiscible. The two liquids are maintained in an
emulsified state by the use of emulsifiers which are pharmaceutically acceptable.
Thus, if the active ingredient is a waterinsoluble oil, it can be administered in,
an emulsion of which it is the discontinuous phase. Also where the active ingredient
is water-insoluble but can be dissolved in a solvent which is immiscible with water,
an emulsion can be used. While the active ingredient would most commonly be used as
the discontinuous or internal phase of what is referred to as an oil-in- water emulsion,
it could also be used as the discontinuous or internal phase of an inverse emulsion,
which is commonly referred to as a water-in- oil emulsion. Here the active ingredient
is soluble in water and could be administered as a simple aqueous solution. However,
inverse emulsions invert upon injection or infusion into an aqueous medium such as
the blood, and offer the advantage of providing a more rapid and efficient dispersion
of the active ingredient into that aqueous medium than can be obtained using an aqueous
solution. Inverse emulsions are prepared by using suitable, pharmaceutically acceptable
emulsifying agents well known in the art. Where the active ingredient has limited
water solubility, it may also be administered as a suspended solid in colloidal or
microparticulate form in a suspension prepared using suitable, pharmaceutically acceptable
suspending agents. The suspended solids containing the active ingredient may also
be formulated as delayed-, sustained-, and/or controlled-release compositions.
[0162] While systemic administration will most frequently be carried out by injection or
infusion of a liquid, there are many situations in which it will be advantageous or
even necessary to deliver the active ingredient as a solid. Systemic administration
of solids is carried out by instillation, inhalation or insufflation of a pharmaceutical
composition in suitable solid form containing the active ingredient. Instillation
of the active ingredient may entail installing a solid implant composition into suitable
body tissues or cavities. The implant may comprise a matrix of bio-compatible and
bioerodible materials in which particles of a solid active ingredient are dispersed,
or in which, possibly, globules or isolated cells of a liquid active ingredient are
entrapped. Desirably, the matrix will be broken down and completely absorbed by the
body. The composition of the matrix is also preferably selected to provide controlled-,
sustained-, and/or delayed release of the active ingredient over extended periods
of time, even as much as several months.
[0163] The term "implant" most often denotes a solid pharmaceutical composition containing
the active ingredient, while the term "depot' usually implies a liquid pharmaceutical
composition containing the active ingredient, which is deposited in any suitable body
tissues or cavities to form a reservoir or pool which slowly migrates to surrounding
tissues and organs and eventually becomes systemically distributed. However, these
distinctions are not always rigidly adhered to in the art, and consequently, it is
contemplated that there is included within the scope of the present invention liquid
implants and solid depots, and even mixed solid and liquid forms for each. Suppositories
may be regarded as a type of implant, since they comprise bases which are solid at
room temperature but melt at a patient's body temperature, slowly releasing the active
ingredient with which they are impregnated into the surrounding tissue of the patient's
body, where the active ingredient becomes absorbed and transported to effect systemic
administration.
[0164] Systemic administration can also be accomplished by inhalation or insufflation of
a powder, i.e., particulate composition containing the active ingredient. For example,
the active ingredient in powder form may be inhaled into the lungs using conventional
devices for aerosolizing particulate formulations. The active ingredient as a particulate
formulation may also be administered by insufflation, i.e., blown or otherwise dispersed
into suitable body tissues or cavities by simple dusting or using conventional devices
for aerosolizing particulate formulations. These particulate compositions may also
be formulated to provide delayed-, sustained-, and/or controlled- release of the active
ingredient in accordance with well understood principles and known materials.
[0165] Other means of systemic administration which may utilize the active ingredients of
the present invention in either liquid or solid form include transdermal, intranasal,
and opthalmic routes. In particular, transdermal patches prepared in accordance with
well known drug delivery technology may be prepared and applied to the skin of a patient
to be treated, whereafter the active- agent by reason of its formulated solubility
characteristics migrates across the epidermis and info the dermal layers of the patient's
skin where it is taken up as part of the general circulation of the patient, ultimately
providing systemic distribution of the active ingredient over a desired, extended
period of time. Also included are implants which are placed beneath the epidermal
layer of the skin, i. e. between the epidermis and the dermis of the skin of the patient
being treated. Such an implant will be formulated in accordance with well known principles
and materials commonly used in this delivery technology, and may be prepared in such
a way as to provide controlled-, sustained-, and/or delayed-release of the active
ingredient into the systemic circulation of the patient. Such subepidermal (subcuticular)
implants provide the same facility of installation and delivery efficiency as transdermal
patches, but without the limitation of being subject to degradation, damage or accidental
removal as a consequence of being exposed on the top layer of the patient's skin.
[0166] In the above description of pharmaceutical compositions containing a preferred compound,
the equivalent expressions: "administration", "administration of", "administering",
and "administering a" have been used with respect to said pharmaceutical compositions.
As thus employed, these expressions are intended to mean providing to a patient in
need of treatment a pharmaceutical composition of the present invention by any of
the routes of administration herein described, wherein the active ingredient is a
preferred compound or a prodrug, derivative, or metabolite thereof which is useful
in treating a disease, disorder, or condition mediated by or associated with modulation
of PDE IV activity in said patient. Accordingly, there is included within the scope
of the present invention any other compound which, upon administration to a patient,
is capable of directly or indirectly providing a preferred compound.
[0167] The dosage and dose rate of the compounds effective for treating or preventing,a
disease, disorder, or condition mediated by or associated with modulation of PDE IV
activity, will depend on a variety of factors, such as the nature of the inhibitor,
the size of the patient, the goal of the treatment, the nature of the pathology to
be treated, the specific pharmaceutical composition used, and the observations and
conclusions of the treating physician.
[0168] For example, where the dosage form is oral, e.g., a tablet or capsule, suitable dosage
levels of the preferred compounds will be between about 0.1 µg/kg and about 50.0 mg/kg
of body weight per day, preferably between about 5.0 µg/kg and about 5.0 mg/kg of
body weight per day, more preferably between about 10. 0 µg/kg and about 1.0 mg/kg
of body weight per day, and most preferably between about 20.0 µg/kg and about 0.
5 mg/kg of body weight per day of the active ingredient.
[0169] Where the dosage form is topically administered to the bronchia and lungs, e.g.,
by means of a powder inhaler or nebulizer, suitable dosage levels of the compounds
will be between about 0.001 µg/kg and about 10.0 mg/kg of body weight per day, preferably
between about 0.5 µg/kg and about 0.5 mg/kg of body weight per day, more preferably
between about 1.0 µg/kg and about 0.1 mg/kg of body weight per day, and most preferably
between about 2.0 µg/kg and about 0.05 mg/kg of body weight per day of the active
ingredient.
[0170] Using representative body weights of 10 kg and 100 kg in order to illustrate the
range of daily oral dosages which might be used as described above, suitable dosage
levels of the preferred compounds will be between about 1.0 -10.0 µg and 500.0 - 5000.0
mg per day, preferably between about 50.0 - 500.0 µg and 50.0 - 500.0 mg per day,
more preferably between about 100.0 - 1000.0 µg and 10.0 - 100.0 mg per day, and most
perferably between about 200.0 - 2000.0 µg and about 5.0 - 50.0 mg per day of the
active ingredient comprising a preferred compound. These ranges of dosage amounts
represent total dosage amounts of the active ingredient per day for a given patient.
The number of times per day that a dose is administered will depend upon such pharmacological
and pharmacokinetic factors as the half-life of the active ingredient, which reflects
its rate of catabolism and clearance, as well as the minimal and optimal blood plasma
or other body fluid levels of said active ingredient attained in the patient which
are required for therapeutic efficacy.
[0171] Numerous other factors must also be considered in deciding upon the number of doses
per day and the amount of active ingredient per dose that will be administered. Not
the least important of such other factors is the individual respsohse of the patient
being treated. Thus, for example, where the active ingredient is used to treat or
prevent asthma, and is administered topically via aerosol inhalation into the lungs,
from one to four doses consisting of acuations of a dispensing device, i,e., "puffs"
of an inhaler, will be administered each day, each dose containing from about 50.0
µg to about 10.0 mg of active ingredient.
[0172] The invention also relates to a set (kit) consisting of separate packs of
- (a) an effective amount of a compound of the formula I and/or solvates and stereoisomers,
including mixtures thereof in all ratios,
and
- (b) an effective amount of a further medicament active ingredient.
[0173] The set comprises suitable containers, such as boxes, individual bottles, bags or
ampoules. The set may, for example, comprise separate ampoules each containing an
effective amount of a compound of the formula I and/or its pharmaceutically usable
derivatives, solvates and stereoisomers, including mixtures thereof in all ratios,
and an effective amount of a further medicament active ingredient in dissolved or
lyophilised form.
[0174] The compounds of the formula I and the physiologically acceptable salts and solvates
thereof can be employed preferably
for the preparation of a medicament for combating diseases which are caused by an excessively low cAMP (cycloadenosine
monophosphate) level and/or can be influenced by an increase in the cAMP level. The
increased cAMP level causes inhibition or prevention of inflammation and causes muscle
relaxation. In particular, the PDE IV inhibitors according to the invention can be
used in
the preparation of a medicament for the treatment of allergic diseases, asthma, chronic bronchitis, atopic dermatitis,
psoriasis and other skin diseases, Inflammatory disorders, autoimmune diseases, such
as, for example, rheumatoid arthritis, multiple sclerosis, Crohn's disease, diabetes
mellitus or ulcerative colitis, osteoporosis, transplant rejection reactions, cachexia,
tumour growth or tumour metastases, sepsis, memory disorders, atherosclerosis and
AIDS.
[0175] In general, the substances according to the invention are preferably administered
in doses corresponding to the compound rolipram of between 1 and 500 mg, In particular
between 5 and 100 mg per dosage unit. The daily dose is preferably between about 0.02
and 10 mg/kg of body weight. However, the specific dose for each patient depends on
a wide variety of factors, for example on the efficacy of the specific compound employed,
on the age, body weight, general state of health, sex, on the diet, on the time and
method of administration, on the excretion rate, medicament combination and severity
of the particular illness to which the therapy applies. Oral administration is preferred.
Example I: Effect of the compounds of formula 1 on T-cell proliferation
[0176] Peripheral blood mononuclear cells (PBMC) are isolated from the blood of healthy
donors by the Lymphoprep gradient method. 200000 PBMC/well are cultured in RPMI1640
culture medium containing 5% heat inactivated human serum (AB pool) for 5 days at
37°C and 10% CO
2 in 96 well flat bottom microtiter plates. The T cells within the PBMC preparation
are selectively stimulated with an monoclonal antibody to CD3. Cultures are set up
as triplicates including a control group receiving no treatment.
[0177] The compounds of formula I are dissolved in DMSO at 10
-2 M and diluted in culture medium. Control cultures are treated with DMSO equivalent
to the inhibitor concentration. 18 hrs before the end of the assay,
3H-thymidine is added to the cultures. The incorporation of radioactivity into the
cells is then measured in a beta-counter.
[0178] The data of at least three independent experiments are calculated as percent inhibition
of the control (mean ± SEM) without inhibitor. From this data the IC-50 value is determined.
Results:
[0179] The compounds of formula I afford a marked reduction of T-cell proliferation.
Example II: Effect of the compounds of formula I on cytokine production in human peripheral
blood monocytic cells
[0180] Peripheral blood mononuclear cells (PBMC) are isolated from the blood of healthy
donors by the Lymphoprep gradient method. 200000 PBMC/well are cultured in RPMI1640
culture medium containing 5% heat inactivated human serum (AB pool). at 37°C and 10%
CO
2 in 96 well flat bottom microtiter plates. Cultures are set up as triplicates including
a control group. Solutions of the compounds of formula I are prepared in DMSO at 10
-2 M and diluted in culture medium. Control cultures are treated with concentrations
of DMSO equivalent to the inhibitor concentrations.
[0181] The culture supernatants of three independent experiments are pooled and cytokine
activity in the supernatant is measured with commercially available ELISA test kits.
[0182] The data are calculated as percent inhibition/stimulation of the control without
the compound and the IC
50 value or EC
50 value in case of stimulation is determined thereof.
Result
[0183] The compounds of formula I afford a marked reduction in the release of IL-2, IFN-γ,
TNF-α and IL-12. The immunosuppressant cytokine IL-10, however, is stimulated.
Example III: Effect of the compounds of formula I on experimental myocardial infarction
in rats
[0184] The compounds of formula I, administered intraperitoneally with 1, 3, and 10 mg/kg,
1 hour before reversible occlusion of the left coronary artery in rats cause a significant
dose dependent reduction of infarct size. In correspondence with this protection,
a reduction of plasma TNF-α levels is observed, as measured by ELISA.
Example IV: Effect of the compounds of formula I on experimental myocardial infarction
in rabbits
[0185] There is a cardioprotective effect by PDE IV inhibition in anaesthetised rabbits
subjected to 30 minutes of coronary artery occlusion (side branch of the ramus circumflexus
of the left coronary artery) followed by 120 minutes of reperfusion. Compounds of
formula I applied prior to the coronary occlusion, reduce infarct size as compared
with placebo treatment. The areas at risk are comparable between verum and placebo
groups. The cardioprotective effect cannot be attributed to favorable hemodynamic
effects, since heart rate and mean aortic pressure remain constant throughout the
experimental protocol.
[0186] Above and below, all temperatures are given in °C. In the following examples, "conventional
work-up" means that water is added if necessary, the pH is adjusted, if necessary,
to between 2 and 10, depending on the constitution of the end product, the mixture
is extracted with ethyl acetate or dichloromethane, the phases are separated, the
organic phase is dried over sodium sulfate and evaporated, and the product is purified
by chromatography on silica gel and/or by crystallisation.
Example 1
[0187]

[0188] A solution of 2.10 I of iodoethane in 6.0 I of diethyl ether was added dropwise to
a mixture of 4.00 kg of isovanilin and 10.50 kg of potassium carbonate in 32.5 I of
acetonitrile. The mixture was stirred overnight and subjected to conventional work-up,
giving
3.

[0189] 1.10 kg of sodium cyanide are introduced into a solution of 3.00 kg of
3, 3.15 I of morpholine and 3.42 kg of toluene-4-sulfonic acid in 18 I of THF. The mixture
was stirred overnight and subjected to conventional work-up, giving
6.

[0190] A solution of 0.064 kg of sodium in 1.30 I of methanol was added to 3.840 kg of
6. A mixture of 1.385 I of methyl acrylate in 13.0 I of tetrahydrofuran was subsequently
added dropwise, and the mixture was stirred overnight. Conventional work-up gave
8.

[0191] 4.80 kg of
8 are dissolved in 14.0 I of ethanol, and 850.0 ml of hydrazinium hydroxide are added.
The mixture was stirred overnight and subjected to conventional work-up, giving
10.

[0192] 2 I of THF are allowed to reaction into a suspension of 40.00 g of lithium aluminium
hydride in 100 ml of toluene over the course of 10 minutes. When the exothermicity
had subsided, 250.00 g of
10 in 2 I of THF are added dropwise with stirring and ice-cooling at 0 - 5°C. The mixture
was stirred for 18 hours at RT, and 100 ml of water are added dropwise with stirring
and cooling. When the hydrolysis was complete, a solution of 500 g of sodium carbonate
decahydrate and 200 ml of water at 80°C was allowed to run in rapidly. After brief
stirring, the batch was filtered with suction, and the filtrate was subjected to conventional
work-up, giving
11 (m.p: 101-103°C).

165.00 g of
11 and 80.71 ml of pyridine are dissolved in dichloromethane. 156.90 g of
12, dissolved in 100 ml of dichloromethane, are added dropwise at 10 -15°C, and the batch
was stirred overnight at 15 - 20°C.
Conventional work-up gave
13 in crystalline form.

[0193] 195.00 g of
13 are introduced into 1.2 I of ethanol at 19°C, and 1.2 I of a 2M sodium hydroxide
solution are added. The mixture was stirred overnight at RT. Conventional work-up
gave
14 as a crystalline solid.

[0194] 106.00 mg of
14, 0.055 ml of triethylene glycol monomethyl ether and 250.00 mg of triphenylphosphine (polymeric)
are introduced into CH
2Cl
2, and 141.00 mg of di-tert-butyl azodicarboxylate are introduced at RT with stirring.
The mixture was stirred overnight at RT and subjected to conventional work-up, giving
16.
Example 2:
[0195]

[0196] 17.70 g of
14, 4.00 ml of 2-chloroethanol, 20.00 g of potassium carbonate and 20.00 ml of dimethylformamide
are combined and stirred overnight at 120°C. Water was added to the mixture, and precipitated
material was filtered off with suction. Crystallisation of the residue from ethanol
gave
17.
[0197] The following compounds are obtained analogously using the corresponding precursors:
Examples 3 - 110:
[0198]
| |
R1 |
R2 |
Q |
R3 |
| (3) |
OC2H5 |
OCH3 |
-CH2CH2- |
OH |
| (4) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OH (m.p.: 139°C) |
| (5) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (6) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCH3 |
| (7) |
OC2H5 |
OCH3 |
-CH2CH2oCH2CH2- |
OCH3 |
| (8) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (9) |
OC2H5 |
OCH3 |
-CH2CH2- |
NH2 |
| (10) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (11) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (12) |
OC2H5 |
OCH3 |
-CH2CH2- |
Cl |
| (13) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (14) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl (m.p.: 53°C) |
| (15) |
OC2H5 |
OCH3 |
-CH2CH2- |
N(CH3)2(m.p.: 95°C) |
| (16) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (17) |
OC2H5 |
OCH3 |
-CH2CH2OH2CH2OCH2CH27 |
N(CH3)2 |
| (18) |
OC2H5 |
OCH3 |
-CH2- |
COOH |
| (19) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (20) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (21) |
OC2H5 |
OCH3 |
-CH2- |
COOC2H5 |
| (22) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (23) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (24) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (25) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (26) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (27) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (28) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (29) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (30) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (31) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (32) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (33) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (34) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (35) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (36) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (37) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (38) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (39) |
OCH3 |
OCH3 |
-CH2CH2- |
OH |
| (40) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OH |
| (41) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (42) |
OCH3 |
OCH3 |
-CH2CH2- |
OCH3 |
| (43) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (44) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (45) |
OCH3 |
OCH3 |
-CH2CH2- |
NH2 |
| (46) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (47) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (48) |
OCH3 |
OCH3 |
-CH2CH2- |
Cl |
| (49) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (50) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (51) |
OCH3 |
OCH3 |
-CH2CH2- |
N(CH3)2 |
| (52) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (53) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (54) |
OCH3 |
OCH3 |
-CH2- |
COOH |
| (55) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (56) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (57) |
OCH3 |
OCH3 |
-CH2- |
COOC2H5 |
| (58) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (59) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (60) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (61) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (62) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (63) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (64) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (65) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (66) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (67) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (68) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (69) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (70) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (71) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (72) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (73) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (74) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (75) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OH |
| (76) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OH |
| (77) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (78) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCH3 |
| (79) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCH3 |
| (80) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (81) |
OC2H5 |
OC2H5 |
-CH2CH2- |
NH2 |
| (82) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
NH2 |
| (83) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (84) |
OC2H5 |
OC2H5 |
-CH2CH2- |
Cl |
| (85) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
Cl |
| (86) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (87) |
OC2H5 |
OC2H5 |
-CH2CH2- |
N(CH3)2 |
| (88) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (89) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (90) |
OC2H5 |
OC2H5 |
CH2- |
COOH |
| (91) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOH |
| (92) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (93) |
OC2H5 |
OC2H5 |
-CH2- |
COOC2H5 |
| (94) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOC2H5 |
| (95) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (96) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (97) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (98) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (99) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (100) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (101) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (102) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (103) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (104) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (105) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (106) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (107) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (108) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (109) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (110) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
Examples 111 - 146:
[0199]
| |
Q |
R3 |
| (111) |
-CH2CH2- |
OH |
| (112) |
-CH2CH2OCH2CH2- |
OH |
| (113) |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (114) |
-CH2CH2- |
OCH3 |
| (115) |
-CH2CH2OCH2CH2- |
OCH3 |
| (116) |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (117) |
-CH2CH5 |
NH2 |
| (118) |
-CH2CH2OCH2CH2- |
NH2 |
| (119) |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (120) |
-CH2CH2- |
Cl |
| (121) |
-CH2CH2OCH2CH2- |
Cl |
| (122) |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (123) |
-CH2CH2- |
N(CH3)2 |
| (124) |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (125) |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (126) |
-CH2- |
COOH |
| (127) |
-CH2CH2OCH2- |
COOH |
| (128) |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (129) |
-CH2- |
COOC2H5 |
| (130) |
-CH2CH2OCH2- |
COOC2H5 |
| (131) |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (132) |
-CH2CH2- |
OCO(CH2)6CH3 |
| (133) |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (134) |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (135) |
-CH2CH2- |
OCO(CH2)10CH3 |
| (136) |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (137) |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (138) |
-CH2CH2- |

|
| (139) |
-CH2CH2OCH2CH2- |

|
| (140) |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (141) |
-CH2CH2- |

|
| (142) |
-CH2CH2OCH2CH2- |

|
| (143) |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (144) |
-CH2CH2- |

|
| (145) |
-CH2CH2OCH2CH2- |

|
| (146) |
-CH2CH2OCH2CH2OCH2CH2- |

|
Examples 147 - 254:
[0200]
| |
R1 |
R2 |
Q |
R3 |
| (147) |
OC2H5 |
OCH3 |
-CH2CH2- |
OH |
| (148) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OH |
| (149) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (150) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCH3 |
| (151) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (152) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (153) |
OC2H5 |
OCH3 |
-CH2CH2- |
NH2 |
| (154) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (155) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (156) |
OC2H5 |
OCH3 |
-CH2CH2- |
Cl |
| (157) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (158) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (159) |
OC2H5 |
OCH3 |
-CH2CH2- |
N(CH3)2 |
| (160) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (161) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (162) |
OC2H5 |
OCH3 |
-CH2- |
COOH |
| (163) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (164) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (165) |
OC2H5 |
OCH3 |
-CH2- |
COOC2H5 |
| (166) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (167) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (168) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (169) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (170) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (171) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (172) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (173) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (174) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (175) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (176) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (177) |
OC2H5 |
OCH3 |
-CH2CH2 |

|
| (178) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (179) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (180) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (181) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (182) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (183) |
OCH3 |
OCH3 |
-CH2CH2- |
OH |
| (184) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OH |
| (185) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (186) |
OCH3 |
OCH3 |
-CH2CH2- |
OCH3 |
| (187) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (188) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (189) |
OCH3 |
OCH3 |
-CH2CH2- |
NH2 |
| (190) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (191) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (192) |
OCH3 |
OCH3 |
-CH2CH2- |
Cl |
| (193) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (194) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (195) |
OCH3 |
OCH3 |
-CH2CH2- |
N(CH3)2 |
| (196) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (197) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (198) |
OCH3 |
OCH3 |
-CH2- |
COOH |
| (199) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (200) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (201) |
OCH3 |
OCH3 |
-CH2- |
COOC2H5 |
| (202) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (203) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (204) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (205) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (206) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (207) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (208) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (209) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (210) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (211) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (212) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (213) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (214) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (215) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (216) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (217) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (218) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (219) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OH |
| (220) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OH |
| (221) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (222) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCH3 |
| (223) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCH3 |
| (224) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (225) |
OC2H5 |
OC2H5 |
-CH2CH2- |
NH2 |
| (226) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
NH2 |
| (227) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (228) |
OC2H5 |
OC2H5 |
-CH2CH2- |
Cl |
| (229) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
Cl |
| (230) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (231) |
OC2H5 |
OC2H5 |
-CH2CH2- |
N(CH3)2 |
| (232) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (233) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
N((CH3)2 |
| (234) |
OC2H5 |
OC2H5 |
-CH2- |
COOH |
| (235) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOH |
| (236) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (237) |
OC2H5 |
OC2H5 |
-CH2- |
COOC2H5 |
| (238) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOC2H5 |
| (239) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (240) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (241) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (242) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (243) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (244) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (245) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (246) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (247) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (248) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (249) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (250) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (251) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (252) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (253) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (254) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
Examples 255 - 362:
[0201]
| |
R1 |
R2 |
Q |
R3 |
| (255) |
OC2H5 |
OCH3 |
-CH2CH2- |
OH |
| (256) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OH (m.p.: 139°C) |
| (257) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (258) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCH3 |
| (259) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (260) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (261) |
OC2H5 |
OCH3 |
-CH2CH2- |
NH2 |
| (262) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (263) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (264) |
OC2H5 |
OCH3 |
-CH2CH2- |
Cl |
| (265) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (266) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl (m.p.: 53°C) |
| (267) |
OC2H5 |
OCH3 |
-CH2CH2- |
N(CH3)2 (m.p.: 95°C) |
| (268) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (269) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (270) |
OC2H5 |
OCH3 |
-CH2- |
COOH |
| (271) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (272) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (273) |
OC2H5 |
OCH3 |
-CH2- |
COOC2H5 |
| (274) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (275) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (276) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (277) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (278) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (279) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (280) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (281) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (282) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (283) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (284) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (285) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (286) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (287) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (288) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (289) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (290) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (291) |
OCH3 |
OCH3 |
-CH2CH2- |
OH |
| (292) |
OCH3 |
OCH3 |
-CH2CH2OH2CH2- |
OH |
| (293) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (294) |
OCH3 |
OCH3 |
-CH2CH2- |
OCH3 |
| (295) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (296) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (297) |
OCH3 |
OCH3 |
-CH2CH2- |
NH2 |
| (298) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (299) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (300) |
OCH3 |
OCH3 |
-CH2CH2- |
Cl |
| (301) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (302) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (303) |
OCH3 |
OCH3 |
-CH2CH2- |
N(CH3)2 |
| (304) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (305) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (306) |
OCH3 |
OCH3 |
-CH2- |
COOH |
| (307) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (308) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (309) |
OCH3 |
OCH3 |
-CH2- |
COOC2H5 |
| (310) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (311) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (312) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (313) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (314) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (315) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (316) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (317) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (318) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (319) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (320) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (321) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (322) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (323) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (324) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (325) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (326) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (327) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OH |
| (328) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OH |
| (329) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (330) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCH3 |
| (331) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCH3 |
| (332) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (333) |
OC2H5 |
OC2H5 |
-CH2CH2- |
NH2 |
| (334) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
NH2 |
| (335) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (336) |
OC2H5 |
OC2H5 |
-CH2CH2- |
Cl |
| (337) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
Cl |
| (338) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (339) |
OC2H5 |
OC2H5 |
-CH2CH2- |
N(CH3)2 |
| (340) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (341) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (342) |
OC2H5 |
OC2H5 |
-CH2- |
COOH |
| (343) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOH |
| (344) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (345) |
OC2H5 |
OC2H5 |
-CH2- |
COOC2H6 |
| (346) |
OC2H5 |
OC2H5 |
-CH2CH2O\CH2- |
COOC2H5 |
| (347) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (348) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (349) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (350) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (351) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (352) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (353) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (354) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (355) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (356) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (357) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (358) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (359) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (360) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (361) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (362) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
Examples 363 - 398:
[0202]
| |
Q |
R3 |
| (363) |
-CH2CH2- |
OH |
| (364) |
-CH2CH2OCH2CH2- |
OH |
| (365) |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (366) |
-CH2CH2- |
OCH3 |
| (367) |
-CH2CH2OCH2CH2- |
OCH3 |
| (368) |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (369) |
-CH2CH2- |
NH2 |
| (370) |
-CH2CH2OCH2CH2- |
NH2 |
| (371) |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (372) |
-CH2CH2- |
Cl |
| (373) |
-CH2CH2OCH2CH2- |
Cl |
| (374) |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (375) |
-CH2CH2- |
N(CH3)2 |
| (376) |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (377) |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (378) |
-CH2- |
COOH |
| (379) |
-CH2CH2OCH2- |
COOH |
| (380) |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (381) |
-CH2- |
COOC2H5 |
| (382) |
-CH2CH2OCH2- |
COOC2H5 |
| (383) |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (384) |
-CH2CH2- |
OCO(CH2)6CH3 |
| (385) |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (386) |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (387) |
-CH2CH2- |
OCO(CH2)10CH3 |
| (388) |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (389) |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (390) |
-CH2CH2- |

|
| (391) |
-CH2CH2OCH2CH2- |

|
| (392) |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (393) |
-CH2CH2- |

|
| (394) |
-CH2CH2OCH2CH2- |

|
| (395) |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (396) |
-CH2CH2- |

|
| (397) |
-CH2CH2OCH2CH2- |

|
| (398) |
-CH2CH2OCH2CH2OCH2CH2- |

|
Examples 399 - 506:
[0203]
| |
R1 |
R2 |
Q |
R3 |
| (399) |
OC2H5 |
OCH3 |
-CH2CH2- |
OH |
| (400) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OH |
| (401) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (402) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCH3 |
| (403) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (404) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (405) |
OC2H5 |
OCH3 |
-CH2CH2- |
NH2 |
| (406) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (407) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (408) |
OC2H5 |
OCH3 |
-CH2CH2- |
Cl |
| (409) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (410) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (411) |
OC2H5 |
OCH3 |
-CH2CH2- |
N(CH3)2 |
| (412) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (413) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (414) |
OC2H5 |
OCH3 |
-CH2- |
COOH |
| (415) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (416) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (417) |
OC2H5 |
OCH3 |
-CH2- |
COOC2H5 |
| (418) |
OC2H5 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (419) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (420) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (421) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (422) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (423) |
OC2H5 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (424) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (425) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (426) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (427) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (428) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (429) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (430) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (431) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (432) |
OC2H5 |
OCH3 |
-CH2CH2- |

|
| (433) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (434) |
OC2H5 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (435) |
OCH3 |
OCH3 |
-CH2CH2- |
OH |
| (436) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OH |
| (437) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (438) |
OCH3 |
OCH3 |
-CH2CH2- |
OCH3 |
| (439) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCH3 |
| (440) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (441) |
OCH3 |
OCH3 |
-CH2CH2- |
NH2 |
| (442) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
NH2 |
| (443) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (444) |
OCH3 |
OCH3 |
-CH2CH2- |
Cl |
| (445) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
Cl |
| (446) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (447) |
OCH3 |
OCH3 |
-CH2CH2- |
N(CH3)2 |
| (448) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (449) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (450) |
OCH3 |
OCH3 |
-CH2- |
COOH |
| (451) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOH |
| (452) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (453) |
OCH3 |
OCH3 |
-CH2- |
COOC2H5 |
| (454) |
OCH3 |
OCH3 |
-CH2CH2OCH2- |
COOC2H5 |
| (455) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (456) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (457) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (458) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (459) |
OCH3 |
OCH3 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (460) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (461) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (462) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (463) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (464) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (465) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (466) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (467) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (468) |
OCH3 |
OCH3 |
-CH2CH2- |

|
| (469) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2- |

|
| (470) |
OCH3 |
OCH3 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (471) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OH |
| (472) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OH |
| (473) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OH |
| (474) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCH3 |
| (475) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCH3 |
| (476) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCH3 |
| (477) |
OC2H5 |
OC2H5 |
-CH2CH2- |
NH2 |
| (478) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
NH2 |
| (479) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
NH2 |
| (480) |
OC2H5 |
OC2H5 |
-CH2CH2- |
Cl |
| (481) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
Cl |
| (482) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
Cl |
| (483) |
OC2H5 |
OC2H5 |
-CH2CH2- |
N(CH3)2 |
| (484) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
N(CH3)2 |
| (485) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
N(CH3)2 |
| (486) |
OC2H5 |
OC2H5 |
-CH2- |
COOH |
| (487) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOH |
| (488) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOH |
| (489) |
OC2H5 |
OC2H5 |
-CH2- |
COOC2H5 |
| (490) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2- |
COOC2H5 |
| (491) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2- |
COOC2H5 |
| (492) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)6CH3 |
| (493) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (494) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)6CH3 |
| (495) |
OC2H5 |
OC2H5 |
-CH2CH2- |
OCO(CH2)10CH3 |
| (496) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (497) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |
OCO(CH2)10CH3 |
| (498) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (499) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (500) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (501) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (502) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (503) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
| (504) |
OC2H5 |
OC2H5 |
-CH2CH2- |

|
| (505) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2- |

|
| (506) |
OC2H5 |
OC2H5 |
-CH2CH2OCH2CH2OCH2CH2- |

|
[0204] The examples below relate to pharmaceutical preparations:
Example A: Injection vials
[0205] A solution of 100 g of an active ingredient of the formula I and 5 g of disodium
hydrogenphosphate in 3 l of bidistilled water is adjusted to pH 6.5 using 2N hydrochloric
acid, sterile filtered, transferred into injection vials, lyophilised under sterile
conditions and sealed under sterile conditions. Each injection vial contains 5 mg
of active ingredient.
Example B: Suppositories
[0206] A mixture of 20 g of an active ingredient of the formula I is melted with 100 g of
soya lecithin and 1400 g of cocoa butter, poured into moulds and allowed to cool.
Each suppository contains 20 mg of active ingredient.
Example C: Solution
[0207] A solution is prepared from 1 g of an active ingredient of the formula I, 9.38 g
of NaH
2PO
4 · 2 H
2O, 28.48 g of Na
2HPO
4 · 12 H
2O and 0.1 g of benzalkonium chloride in 940 ml of bidistilled water. The pH is adjusted
to 6.8, and the solution is made up to 1 I and sterilised by irradiation. This solution
can be used in the form of eye drops.
Example D: Ointment
[0208] 500 mg of an active ingredient of the formula I are mixed with 99.5 g of Vaseline
under aseptic conditions.
Example E: Tablets
[0209] A mixture of 1 kg of active ingredient of the formula I, 4 kg of lactose, 1.2 kg
of potato starch, 0.2 kg of talc and 0.1 kg of magnesium stearate is pressed in a
conventional manner to give tablets in such a way that each tablet contains 10 mg
of active ingredient.
Example F: Coated tablets
[0210] Tablets are pressed analogously to Example E and subsequently coated in a conventional
manner with a coating of sucrose, potato starch, talc, tragacanth and dye.
Example G: Capsules
[0211] 2 kg of active ingredient of the formula I are introduced in a conventional manner
into hard gelatine capsules in such a way that each capsule contains 20 mg of the
active ingredient.
Example H: Ampoules
[0212] A solution of 1 kg of active ingredient of the formula I in 60 I of bidistilled water
is sterile filtered, transferred into ampoules, lyophilised under sterile conditions
and sealed under sterile conditions. Each ampoule contains 10 mg of active ingredient.
Example I: Inhalation spray
[0213] 14 g of active ingredient of the formula I are dissolved in 10 I of isotonic NaCl
solution, and the solution is transferred into commercially available spray containers
with pump mechanism. The solution can be sprayed into the mouth or nose. One spray
shot (about 0.1 ml) corresponds to a dose of about 0.14 mg.
1. Compounds of the formula I

in which
R1 and
R2 are each, independently of one another, H, OH, OR4, SR4, SOR4, SO2R4 or Hal, where R1 and R2 together may alternatively be -O-CH2-O-,
R3 is Hal, OH, OA, NO2, NH2, NHA1, NA1A2, CN, COOH, COOA1, CONH2, CONHA1, CONA1A2, NHCOA1, NHSO2A1, NHCOOA1,


or

R4 is A1, cycloalkyl having from 3 to 7 carbon atoms, alkylenecycloalkyl having from 4 to
8 carbon atoms or alkenyl having from 2 to 8 carbon atoms,
A1 and A2 are each, independently of one another, alkyl having from 1 to 12 carbon atoms, which
may be substituted by from 1 to 5 F and/or Cl atoms or OH-groups, where A1 and A2 together may alternatively be cycloalkyl or cycloalkylene having from 3 to 7 ring
members, in which one or more CH2 groups may be replaced by -S-, -O-, -NH-, - NA1-, -NCOA1- or -NCOOA1-,
X is H or Hal,
Hal is F, Cl, Br or I and
Q is alkyl or alkenyl having from 1 to 15 carbon atoms, in which from 1 to 5 -CH2- groups may be replaced by -O-, -S-, -SO2-, -CH(Hal)-, -C(Hal)2-, -CHA1-, -CA1A2-, - NH- or -NA1-,
and salts and solvates thereof.
2. Compounds of the formula I according to Claim 1, characterised in that R1 and R2 are each, independently of one another, methoxy, ethoxy, propoxy, cyclopentoxy, fluoro-,
difluoro- or trifluoromethoxy, or 1-fluoro-, 2-fluoro-, 1,2-difluoro-, 2,2-difluoro-,
1,2,2-trifluoro- or 2,2,2-trifluoroethoxy.
3. Compounds of the formula I according to one or more of the preceding claims, characterised in that A1 and A2 are each, independently of one another, alkyl having from 1 to 12 carbon atoms, alkyl
having from 1 to 10 carbon atoms which is substituted by from 1 to 5 fluorine and/or
chlorine atoms, or together are alternatively cycloalkyl having from 3 to 7 carbon
atoms.
4. Compounds of the formula I according to one or more of the preceding claims, characterised in that Q is alkylene having from 1 to 10 carbon atoms, in which from 1 to 3 carbon atoms
may be replaced by -O-, -NH- or -NA1-, and A1 is as defined in Claim 1.
5. Compounds of the formula I according to one or more of the preceding claims,
characterised in that R
3 is preferably A
1, F, Cl, Br or I, hydroxyl, NH
2, O-alkyl, NO
2, alkylamino, cycloalkylamino, dialkylamino, or

where alkyl has from 1 to 10 carbon atoms and cycloalkyl has from 3 to 7 carbon atoms,
and A
1 is as defined in Claim 1.
7. Process for the preparation of compounds of the formula I and salts and solvates thereof,
characterised in that a compound of the formula II

in which
R1 and R2 are as defined in Claim 1, is reacted with a compound of the formula III

in which
R3 and Q are as defined in Claim 1, and
L is Cl, Br, OH or a reactive esterified OH group,
or
in that a compound of the formula IV

in which X, R
1 and R
2 are as defined in Claim 1,
is reacted with a compound of the formula V
L-Q-R
3 V
in which
Q and R3 are as defined in Claim 1, and
L is Cl, Br, OH or a reactive esterified OH group,
and/or
in that a basic compound of the formula I is converted into one of its salts by treatment
with an acid.
8. Compounds of the formula IV

in which X, R
1 and R
2 are as defined in Claim 1.
9. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament.
10. Pharmaceutical preparation characterised by a content of at least one compound of the formula I according to one or more of Claims
1 to 6 and/or one of its physiologically acceptable salts and/or one of its solvates.
11. Process for the preparation of pharmaceutical preparations, characterised in that at least one compound of the formula I according to one or more of Claims 1 to 6
and/or one of its physiologically acceptable salts and/or one of its solvates is brought
into a suitable dosage form together with at least one solid, liquid or semi-liquid
excipient or assistant.
12. Compounds of the formula I according to one or more of Claims 1 to 6 and physiologically
acceptable salts and/or solvates thereof for combating allergic diseases, asthma,
chronic bronchitis, atopic dermatitis, psoriasis and other skin diseases, inflammatory
disorders, autoimmune diseases, such as, for example, rheumatoid arthritis, multiple
sclerosis, Crohn's disease, diabetes mellitus or ulcerative colitis, osteoporosis,
transplant rejection reactions, cachexia, tumour growth or tumour metastases, sepsis,
memory disorders, atherosclerosis and AIDS.
13. Use of compounds of the formula I according to one or more of Claims 1 to 6 and physiologically
acceptable salts and/or solvates thereof for the preparation of a medicament for the
treatment and prophylaxis of allergic diseases, asthma, chronic bronchitis, atopic
dermatitis, psoriasis and other skin diseases, inflammatory disorders, autoimmune
diseases, such as, for example, rheumatoid arthritis, multiple sclerosis, Crohn's
disease, diabetes mellitus or ulcerative colitis, osteoporosis, transplant rejection
reactions, cachexia, tumour growth or tumour metastases, sepsis, memory disorders,
atherosclerosis and AIDS.
14. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for the treatment and prophylaxis of myocardial diseases.
15. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for the treatment and prophylaxis of myocardial diseases which have inflammatory
and/or immunological characteristics.
16. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for the treatment and prophylaxis of coronary artery disease, reversible
or irreversible myocardial ischemia/reperfusion injury, acute or chronic heart failure
and restenosis, including instent-restenosis and stent-in-stent-restenosis.
17. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for the treatment and prophylaxis of ventricular remodeling after infarction
or congestive heart failure of different severity.
18. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for treating a subject suffering from a disease or condition mediated by
the PDE IV isozyme in its role or regulating the activation and degranulation of human
eosinophils.
19. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for the treatment and prophylaxis of diseases which are caused by excessive
production of macrophages and T-cells and/or can be influenced by a reduction in macrophage
and T-cell production.
20. Use of the compounds of the formula I according to one or more of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for the preparation of a
medicament for the treatment and prophylaxis of diseases which are caused by excessive
proliferation of the T-cells and/or can be influenced by an inhibition of the proliferation
of the T-cells.
21. Use of compounds of the formula I according to at least one of Claims 1 to 6 and/or
physiologically acceptable salts and/or solvates thereof for preparing a medicament
in treating or preventing one or members selected from the groups of diseases, disorders,
and conditions consisting of:
asthma of whatever type, etiology, or pathogenesis; or asthma that is a member selected
from the group consisting of atopic asthma; non-atopic asthma; allergic asthma; atopic,
bronchial, IgE-mediated asthma; bronchial asthma; essential asthma; true asthma; intrinsic
asthma caused by pathophysiologic disturbances; extrinsic asthma caused by environmental
factors; essential asthma of unknown or inapparent cause; non-atopic asthma; bronchitic
asthma; emphysematous asthma; exercise-induced asthma; occupational asthma; infective
asthma caused by bacterial, fungal, protozoal, or viral infection; non-allergic asthma;
incipient asthma; wheezy infant syndrome;
chronic or acute bronchoconstriction; chronic bronchitis; small airways obstruction;
and emphysema;
obstructive or inflammatory airways diseases of whatever type, etiology, or pathogenesis;
or an obstructive or inflammatory airways disease that is a member selected from the
group consisting of asthma; pneumoconiosis; chronic eosinophilic pneumonia; chronic
obstructive pulmonary disease (COPD); COPD that includes chronic bronchitis, pulmonary
emphysema or dyspnea associated therewith; COPD that is characterized by irreversible, progressive airways obstruction; adult respiratory distress syndrome
(ARDS), and exacerbation of airways hyper-reactivity consequent to other drug therapy;
pneumoconiosis of whatever type, etiology, or pathogenesis; or pneumoconiosis that
is a member selected from the group consisting of aluminosis or bauxite workers' disease;
anthracosis or miners'asthma; asbestosis or steam-fifters' asthma; chalicosis or flint
disease; ptilosis caused by inhaling the dust from ostrich feathers; siderosis caused
by the inhalation of iron particles; silicosis or grinders' disease; byssinosis or
cotton-dust asthma; and talc pneumoconiosis;
bronchitis of whatever type, etiology, or pathogenesis; or bronchitis that is a member
selected from the group consisting of acute bronchitis; acute laryngotracheal bronchitis;
arachidic bronchitis; catarrhal bronchitis; croupus bronchitis; dry bronchitis; infectious
asthmatic bronchitis; productive bronchitis; staphylococcus or streptococcal bronchitis;
and vesicular bronchitis;
bronchiectasis of whatever type, etiology, or pathogenesis; or bronchiectasis that
is a member selected from the group consisting of cylindric bronchiectasis; sacculated
bronchiectasis; fusiform bronchiectasis; capillary bronchiectasis; cystic bronchiectasis;
dry bronchiectasis; and follicular bronchiectasis;
seasonal allergic rhinitis; or perennial allergic rhinitis; or sinusitis of whatever
type, etiology, or pathogenesis; or sinuisitis that is a member selected from the
group consisting of purulent or nonpurulent sinusitis; acute or chronic sinusitis;
and ethmoid, frontal, maxillary, or sphenoid sinusitis,
rheumatoid arthritis of whatever type, etiology, or pathogenesis; or rheumatoid arthritis
that is a member selected from the group consisting of acute arthritis; acute gouty
arthritis; chronic inflammatory arthritis; degenerative arthritis; infectious arthritis;
Lyme arthritis; proliferative arthritis; psoriatic arthritis; and vertebral arthritis;
gout, and fever and pain associated with inflammation;
an eosinophil-related disorder of whatever type, etiology, or pathogenesis; or an
eosinophil-related disorder that is a member selected from the group consisting of
eosinophilia; pulmonary infiltration eosinophilia; Loffier's syndrome; chronic eosinophilic
pneumonia; tropical pulmonary eosinophilia; bronchopneumonic aspergillosis; aspergilloma;
granulomas containing eosinophils; allergic granulornatous angijtis 'or Churg-Strauss
syndrome; polyarteritis nodosa (PAN); and systemic necrotizing vasculitis;
atopic dermatitis; or allergic dermatitis; or allergic or atopic eczema; urticaria
of whatever type, etiology, or pathogenesis; or urticaria that is a member selected
from the group consisting of immune-mediated urticaria; complement-mediated urticaria;
urticariogenic material-induced urticaria; physical agent- induced urticaria; stressinduced
urticaria; idiopathic urticaria; acute urticaria; chronic urticaria; angioedema; cholinergic
urticaria; cold urticaria in the autosomal dominant form or in the acquired form;
contact urticaria; giant urticaria; and papular urticaria;
conjunctivitis of whatever type, etiology, or pathogenesis; or conjunctivitis that
is a member selected from the group consisting of actinic conjunctivitis; acute catarrhal
conjunctivitis; acute contagious conjunctivitis; allergic conjunctivitis; atopic conjunctivitis;
chronic catarrhal conjunctivitis; purulent conjunctivitis; and vernal conjunctivitis;
uveitis of whatever type, etiology, or pathogenesis; or uveitis that is a member selected
from the group consisting of inflammation of all or part of the uvea; anterior uveitis;
iritis; cyclitis; iridocyclitis; granulornatous uveitis; nongranulornatous uveitis;
phacoantigenic uveitis; posterior uveitis; choroiditis; and chorioretinitis;
psoriasis;
multiple sclerosis of whatever type, etiology, or pathogenesis; or multiple sclerosis
that is a member selected from the group consisting of primary progressive multiple
sclerosis; and relapsing remitting multiple sclerosis;
autoimmune/inflammatory diseases of whatever type, etiology, or pathogenesis; or an
autoimmune/inflammatory disease that is a member selected from the group consisting
of autoimmune hematological disorders; hemolytic anemia; aplastic anemia; pure red
cell anemia; idiopathic thrombocytopenic purpura; systemic lupus erythematosus; polychondritis;
scleroderma; Wegner's granulomatosis;
dermatomyositis; chronic active hepatitis; myasthenia gravis; Stevens-Johnson syndrome;
idiopathic sprue; autoimmune inflammatory bowel diseases; ulcerative colitis; Crohn's
disease; endocrin opthamopathy; Grave's disease; sarcoidosis;
alveolitis; chronic hypersensitivity pneumonitis; primary biliary cirrhosis; juvenile
diabetes or diabetes mellitus type 1; anterior uveitis; granulornatous or posterior
uveitis; keratoconjunctivitis sicca; epidemic keratoconjunctivitis; diffuse interstitial
pulmonary fibrosis or interstitial lung fibrosis; idiopathic pulmonary fibrosis; cystic
fibrosis; psoriatic arthritis; glomerulonephritis with and without nephrotic syndrome;
acute glomerulonephritis; idiopathic nephrotic syndrome; minimal change nephropathy;
inflammatory/ hyperproliferative skin diseases; psoriasis; atopic dermatitis; contact
dermatitis; allergic contact dermatitis; benign familial pemphigus; pemphigus erythematosus;
pemphigus foliaceus; and pemphigus vulgaris; prevention of allogeneic graft rejection
following organ transplantation;
inflammatory bowel disease (IBD) of whatever type, etiology, or pathogenesis; or inflammatory
bowel disease that is a member selected from the group consisting of ulerative colitis
(UC); collagenous colitis; colitis polyposa; transmural colitis; and Crohn's disease
(CD);
septic shock of whatever type, etiology, or pathogenesis; or septic shock that is
a member selected from the group consisting of renal failure; acute renal failure;
cachexia; malarial cachexia; hypophysial cachexia; uremic cachexia; cardiac cachexia;
cachexia suprarenalis or Addison's disease; cancerous cachexia; and
cachexia as a consequence of infection by the human immunodeficiency virus (HIV);
liver injury;
pulmonary hypertension; and hypoxia-induced pulmonary hypertension;
bone loss diseases; primary osteoporosis; and secondary osteoporosis;
central nervous system disorders of whatever type, etiology, or pathogenesis; or a
central nervous system disorder that is a member selected from the group consisting
of depression; Parkinson's disease; learning and memory impairment; tardive dyskinesia;
drug. dependence; arteriosclerotic dementia; and dementias that accompany Huntington's
chorea, Wilson's disease, paralysis agitans, and thalamic atrophies; infection, especially
infection by viruses wherein such viruses increase the production of TNF-α in their
host, or wherein such viruses are sensitive to upregulation of TNF-α in their host
so that their replication or other vital activities are adversely impacted, including
a virus which is a member selected from the group consisting of HIV-1,HIV-2, and HIV-3;
cytornegalovirus, CMV; influenza;
adenoviruses; and Herpes viruses, including Herpes zoster and Herpes simplex; yeast
and fungus infections wherein said yeast and fungi are sensitive to upregulation by
TNF-α or elicit TNF-α production in their host, e.g., fungal meningitis; particularly
when administered in conjunction with other drugs of choice for the treatment of systemic
yeast and fungus infections, including but are not limited to, polymixins, e.g., Polymycin
B; imidazoles, e.g., clotrimazole, econazole, miconazole, and
ketoconazole; triazoles, e.g., fluconazole and itranazole; and amphotericins, e.g.,
Amphotericin B and liposomal Amphotericin B;
ischemia-reperfusion injury; autoimmune diabetes; retinal autoimmunity; chronic lymphocytic
leukemia; HIV infections; lupus erythematosus; kidney and ureter disease; urogenital
and gastrointestinal disorders; and prostate diseases.
22. The combination of a compound as defined in one or more of claims 1 to 6 and/or physiologically
acceptable salts and/or solvates thereof together with one or more members selected
from the group consisting of the following:
(a) Leukotriene biosynthesis inhibitors, 5-lipoxygenase (5-LO) inhibitors, and 5-lipoxygenase
activating protein (FLAP) antagonists selected from the group consisting of zileuton;
fenleuton; tepoxalin; Abbott-79175; Abbott-85761; N-(5-substituted)-thiophene-2-alkylsulfonamides; 2,6-di-tert.-butylphenol hydrazones; Zeneca ZD-2138; SB-210661; pyridinyl-substituted 2-cyanonaphthalene
compound L-739,010; 2-cyanoquinoline compound L-746,530; indole and quinoline compounds
MK-591, MK-886, and BAY x 1005;
(b) Receptor antagonists for leukotrines LTB4, LTC4, LTD4, and LTE4 selected from the group consisting of phenothiazin-3-one compound L-651,392; amidino
compound CGS-25019c; benzoxazolamine compound ontazolast; benzene-carboximidamide
compound BIIL 284/260; compounds zafirlukast, ablukast, montelukast, pranlukast, verlukast
(MK-679), RG-12525, Ro-245913, iralukast (CGP 45715A), and BAY x 7195;
(c) PDE IV inhibitors;
(d) 5-Lipoxygenase (5-LO) inhibitors; and 5-lipoxygenase activating protein (FLAP)
antagonists;
(e) Dual inhibitors of 5-lipoxygenase (5-LO) and antagonists of platelet activating
factor (PAF);
(f) Leukotriene antagonists (LTRAs) of LTB4, LTC4, LTD4, LTE4;
(g) Antihistaminic H1 receptor antagonist cetirizine, loratadine, desloratadine, fexofenadine, astemizole,
azelastine, and chlorpheniramine;
(h) Gastroprotective H2 receptor antagonists;
(i) α1- and α2-adrenoceptor agonist vasoconstrictor sympathomimetic agents administered orally or
topically for decongestant use, selected from the group consisting of propylhexedrine,
phenylephrine, phenylpropanolamine, pseudoephedrine, naphazoline, hydrochloride, oxymetazoline
hydrochloride, tetrahydrozoline hydrochloride, xylometazoline hydrochloride, and ethylnorepinephrine
hydrochloride;
(j) one or more α1- and α2-adrenoceptor agonists as recited in (i) above in combination with one or more inhibitors
of 5-lipoygenase (5-LO) as recited in (a) above;
(k) Anticholinergic agents ipratropium bromide; tiotropium bromide, oxitropium bromide;
pirenzepine; and telenzepine;
(I) β1- to β2-adrenoceptor agonists selected from the group consisting of metaproterenol, isoproterenol,
isoprenaline, albuterol, salbutamol, formoterol, salmeterol, terbutaline, orciprenaline,
bitolterol, and pirbuterol;
(m) Theophylline and aminophylline;
(n) Sodium cromoglycate;
(o) Muscarinic receptor (M1, M2, and M3) antagonists;
(p) COX-1 inhibitors (NSAIDs); and nitric oxide NSAIDs;
(q) COX-2 selective inhibitor rofecoxib;
(r) Insulin-like growth factor type I (IGF-1) mimetics;
(s) Ciclesonide;
(t) Inhaled glucocorticoids with reduced systemic side effects selected from the group
consisting of prednisone, prednisolone, flunisolide, triamcinolone acetonide, beclomethasone
dipropionate, budesonide, fluticasone propionate, and mometasone furoate;
(u) Tryptase inhibitors;
(v) Platelet activating factor (PAF) antagonists;
(w) Monoclonal antibodies active against endogenous inflammatory entities;
(x) IPL 576;
(y) Anti-tumor necrosis factor (TNFα) agents selected from the group consisting of
etanercept, infliximab, and D2E7;
(z) DMARDs selected from the group consisting of leflunomide;
(aa) TCR peptides;
(bb) Interleukin converting enzyme (ICE) inhibitors;
(cc) IMPDH inhibitors;
(dd) Adhesion molecule inhibitors including VLA-4 antagonists;
(ee) Cathepsins;
(ff) MAP kinase inhibitors;
(gg) Glucose-6 phosphate dehydrogenase inhibitors;
(hh) Kinin-B1- and B2-receptor antagonists;
(ii) Gold in the form of an aurothio group in combination with hydrophilic groups;
(jj) Immunosuppressive agents selected from the group consisting of cyclosporine,
azathioprine, and methotrexate;
(kk) Anti-gout agents selected from the group consisting of colchicines;
(ll) Xanthine oxidase selected from the group consisting of allopurinol;
(mm) Uricosuric agents selected from the group consisting of probenecid, sulfinpyrazone,
and benzbromarone;
(nn) Antineoplastic agents that are antimitotic drugs selected from the group consisting
of vinblastine and vincristine;
(oo) Growth hormone secretagogues;
(pp) Inhibitors of matrix metalloproteases (MMPs) that are selected from the group
consisting of the stromelysins, the collagenases, the gelatinises, aggrecanase, collagenase-1
(MMP-1), collagenase-2 (MMP-8), collagenase-3 (MMP-13), stromelysin-1 (MMP-3), stromelysin-2
(MMP-10), and stromelysin-3 (MMP-11);
(qq) Transforming growth factor (TGFβ);
(rr) Platelet-derived growth factor (PDGF);
(ss) Fibroblast growth factor selected from the group consisting of basic fibroblast
growth factor (bFGF);
(tt) Granulocyte macrophage colony stimulating factor (GM-CSF);
(uu) Capsaicin;
(w) Tachykinin NK1 and NK3 receptor antagonists selected from the group consisting of NKP-608C; SB-233412 (talnetant);
and D-4418;
(ww) Elastase inhibitors selected from the group consisting of UT-77 and ZD-0892;
and
(xx) Adenosine A2a receptor agonists.
23. Set (kit) consisting of separate packs of
(a) an effective amount of a compound of the formula I according to one or more of
claims 1 to 6 and/or its salts, solvates and stereoisomers, including mixtures thereof
in all ratios,
and
(b) an effective amount of a further medicament active ingredient.
1. Verbindungen der Formel I

in der
R1 und
R2 jeweils unabhängig voneinander H, OH, OR4, SR4, SOR4, SO2R4 oder Hal bedeuten, wobei R1 und R2 zusammen auch -O-CH2-O- bedeuten können,
R3 Hal, OH, OA, NO2, NH2, NHA1, NA1A2, CN, COOH, COOA1, CONH2, CONHA1, CONA1A2, NHCOA1, NHSO2A1, NHCOOA1,


oder

bedeutet,
R4 A1, Cycloalkyl mit 3 bis 7 Kohlenstoffatomen, Alkylencycloalkyl mit 4 bis 8 Kohlen-
stoffatomen oder Alkenyl mit 2 bis 8 Kohlenstoffatomen bedeutet,
A1 und A2 jeweils unabhängig voneinander Alkyl mit 1 bis 12 Kohlenstoffatomen bedeuten, das
durch 1 bis 5 F- und/oder Cl-Atome oder OH-Gruppen substituiert sein kann, wobei A1 und A2 zusammen auch Cycloalkyl oder Cycloalkylen mit 3 bis 7 Ringgliedern bedeuten können,
in dem eine oder mehrere CH2-Gruppen durch -S-, -O-, -NH-, -NA1-, -NCOA1- oder -NCOOA1- ersetzt sein können,
X H oder Hal bedeutet,
Hal F, Cl, Br oder I bedeutet und
Q Alkyl oder Alkenyl mit 1 bis 15 Kohlenstoffatomen bedeutet, in dem 1 bis 5 -CH2- Gruppen durch -O-, -S-, -SO2-, -CH(Hal)-, -C(Hal)2-, -CHA1-, -CA1A2-, -NH- oder -NA1- ersetzt sein können,
und deren Salze und Solvate.
2. Verbindungen der Formel I nach Anspruch 1, dadurch gekennzeichnet, dass R1 und R2 jeweils unabhängig voneinander Methoxy, Ethoxy, Propoxy, Cyclopentoxy, Fluor-, Difluor-
oder Trifluormethoxy oder 1-Fluor-, 2-Fluor-, 1,2-Difluor-, 2,2-Difluor-, 1,2,2-Trifluor-
oder 2,2,2-Trifluorethoxy bedeuten.
3. Verbindungen der Formel I nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass A1 und A2 jeweils unabhängig voneinander Alkyl mit 1 bis 12 Kohlenstoffatomen, Alkyl mit 1
bis 10 Kohlenstoffatomen, das durch 1 bis 5 Fluor- und/oder Chloratome substituiert
ist, oder zusammen auch Cycloalkyl mit 3 bis 7 Kohlenstoffatomen bedeuten.
4. Verbindungen der Formel I nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass Q Alkylen mit 1 bis 10 Kohlenstoffatomen bedeutet, in dem 1 bis 3 Kohlenstoffatome
durch -O-, -NH- oder -NA1- ersetzt sein können, und A1 wie in Anspruch 1 definiert ist.
5. Verbindungen der Formel I nach einem oder mehreren der vorhergehenden Ansprüche,
dadurch gekennzeichnet, dass R
3 vorzugsweise A
1, F, Cl, Br oder I, Hydroxyl, NH
2, O-Alkyl, NO
2, Alkylamino, Cycloalkylamino, Dialkylamino oder

bedeutet, wobei Alkyl 1 bis 10 Kohlenstoffatome und Cycloalkyl 3 bis 7 Kohlenstoffatome
aufweist und A
1 wie in Anspruch 1 definiert ist.
7. Verfahren zur Herstellung der Verbindungen der Formel I und ihrer Salze und Solvate,
dadurch gekennzeichnet, dass man eine Verbindung der Formel II

in der
R1 und R2 wie in Anspruch 1 definiert sind,
mit einer Verbindung der Formel III

in der
R3 und Q wie in Anspruch 1 definiert sind, und
L Cl, Br, OH oder eine reaktive veresterte OH-Gruppe bedeutet,
umsetzt, oder
dass man eine Verbindung der Formel IV

in der X, R
1 und R
2 wie in Anspruch 1 definiert sind, mit einer Verbindung der Formel V
L-Q-R
3 V
in der
Q und R3 wie in Anspruch 1 definiert sind, und
L Cl, Br, OH oder eine reaktive veresterte OH-Gruppe bedeutet,
umsetzt und/oder dass man eine basische Verbindung der Formel I durch Behandeln mit
einer Säure in eines ihrer Salze umwandelt.
8. Verbindungen der Formel IV

in der X, R
1 und R
2 wie in Anspruch 1 definiert sind.
9. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels.
10. Pharmazeutische Zubereitung, gekennzeichnet durch einen Gehalt an mindestens einer Verbindung der Formel I nach einem oder mehreren
der Ansprüche 1 bis 6 und/oder eines ihrer physiologisch unbedenklichen Salze und/oder
eines ihrer Solvate.
11. Verfahren zur Herstellung von pharmazeutischen Zubereitungen, dadurch gekennzeichnet, dass man mindestens eine Verbindung der Formel I nach einem oder mehreren der Ansprüche
1 bis 6 und/oder eines ihrer physiologisch unbedenklichen Salze und/oder eines ihrer
Solvate zusammen mit mindestens einem festen, flüssigen oder halbflüssigen Bindemittel
oder Hilfsstoff in eine geeignete Darreichungsform bringt.
12. Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1 bis 6 und ihre
physiologisch unbedenklichen Salze und/oder Solvate zur Bekämpfung von allergischen
Erkrankungen, Asthma, chronischer Bronchitis, atopischer Dermatitis, Psoriasis und
anderen Hauterkrankungen, entzündlichen Störungen, Autoimmunerkrankungen, wie z.B.
rheumatoider Arthritis, multipler Sklerose, Morbus Crohn, Diabetes mellitus oder ulcerativer
Colitis, Osteoporose, Transplantationsabstoßungsreaktionen, Kachexie, Tumorwachstum
oder -metastasen, Sepsis, Gedächtnisstörungen, Atherosklerose und AIDS.
13. Verwendung von Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von allergischen Erkrankungen,
Asthma, chronischer Bronchitis, atopischer Dermatitis, Psoriasis und anderen Hauterkrankungen,
entzündlichen Störungen, Autoimmunerkrankungen, wie z.B. rheumatoider Arthritis, multipler
Sklerose, Morbus Crohn, Diabetes mellitus oder ulcerativer Colitis, Osteoporose, Transplantationsabstoßungsreaktionen,
Kachexie, Tumorwachstum oder -metastasen, Sepsis, Gedächtnisstörungen, Atherosklerose
und AIDS.
14. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von Myokarderkrankungen.
15. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von Myokarderkrankungen mit
entzündlichen und/oder immunologischen Merkmalen.
16. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von koronarer Herzkrankheit,
reversibler oder irreversibler Myokardischämie/Reperfusionsverletzung, akutem oder
chronischem Herzversagen und Restenose, einschließlich In-Stent-Restenose und Stent-in-Stent-Restenose.
17. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von Ventrikelrekonstruktion
nach Infarkt oder kongestiver Herzinsuffizienz unterschiedlicher Schwere.
18. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels zur Behandlung eines Patienten, der an einer durch das PDE IV-Isozym
in seiner Rolle bei der Regulierung der Aktivierung und Degranulation von menschlichen
Eosinophilen vermittelten Erkrankung oder einem solchen Leiden leidet.
19. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von Erkrankungen, die durch
Überproduktion von Makrophagen und T-Zellen verursacht werden und/oder durch eine
Herabsetzung der Makrophagen- und T-Zellenproduktion beeinflusst werden können.
20. Verwendung der Verbindungen der Formel I nach einem oder mehreren der Ansprüche 1
bis 6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels für die Behandlung und Prophylaxe von Erkrankungen, die durch
exzessive Proliferation von T-Zellen verursacht werden und/oder durch eine Hemmung
der T-Zellenproliferation beeinflusst werden können.
21. Verwendung von Verbindungen der Formel I nach mindestens einem der Ansprüche 1 bis
6 und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate für die Herstellung
eines Arzneimittels zur Behandlung oder Vorbeugung von einer oder mehreren aus der
Gruppe der folgenden Erkrankungen, krankhaften Störungen und Leiden:
Asthma jeglicher Art, Ätiologie oder Pathogenese; oder Asthma, das ein Mitglied ausgewählt
aus der Gruppe bestehend aus atopischem Asthma; nichtatopischem Asthma; allergischem
Asthma; IgE-vermitteltem atopischem Asthma; Bronchialasthma; essentiellem Asthma;
Primärasthma; durch pathophysiologische Störungen hervorgerufenem endogenem Asthma;
durch Umweltfaktoren hervorgerufenem exogenem Asthma; essentiellem Asthma unbekannter
oder inapparenter Ursache;
nichtatopischem Asthma; bronchitischem Asthma; emphysematösem Asthma; durch Belastung
induziertem Asthma; Berufsasthma; durch Bakterien-, Pilz-, Protozoen- oder Virusinfektion
hervorgerufenem infektallergischem Asthma; nichtallergischem Asthma; inzipientem Asthma;
"wheezy infant syndrome" ist;
chronische oder akute Bronchokonstriktion; chronische Bronchitis; Obstruktion der
kleinen Atemwege sowie Emphysem;
obstruktive oder entzündliche Atemwegserkrankung jeglicher Art, Ätiologie oder
Pathogenese; oder eine obstruktive oder entzündliche Atemwegserkrankung, die ein Mitglied
ausgewählt aus der Gruppe bestehend aus Asthma; Staublunge; chronischer eosinophiler
Pneumonie; chronischer obstruktiver pulmonale Krankheit (COPD);
COPD inklusive chronischer Bronchitis, Lungenemphysem oder damit assoziierter Atemnot;
durch irreversible, fortschreitende Obstruktion der Atemwege gekennzeichneter COPD; Schocklunge (adult respiratory distress syndrome; ARDS),
sowie Verschärfung der Überempfindlichkeit der Atemwege aufgrund Therapie mit anderen
Arzneistoffen ist;
Staublunge jeglicher Art, Ätiologie oder Pathogenese; oder Staublunge, die ein Mitglied
ausgewählt aus der Gruppe bestehend aus Aluminose oder Aluminiumstaublunge; Anthrakose(-Asthma);
Asbestose oder Asbeststaublunge; Chalikose oder
Kalkstaublunge; durch Einatmen von Straußenfedernstaub verursachter Ptilose;
durch Einatmung von Eisenteilchen verursachter Siderose; Silikose oder Steinstaublunge;
Byssinose oder Baumwollstaubpneumokoniose sowie Talkpneumokoniose ist;
Bronchitis jeglicher Art, Ätiologie oder Pathogenese; oder Bronchitis, die ein Mitglied
ausgewählt aus der Gruppe bestehend aus akuter Bronchitis; akuter laryngotrachealer
Bronchitis; durch Erdnüsse ausgelöster Bronchitis; Bronchialkatarrh; kruppöser Bronchitis;
Bronchitis ohne Auswurf; infektiöser Asthmabronchitis; Bronchitis mit Auswurf; Staphylokokken-
oder Streptokokkenbronchitis; sowie Vesikulärbronchitis ist;
Bronchiektasie jeglicher Art, Ätiologie oder Pathogenese; oder Bronchiektasie, die
ein Mitglied ausgewählt aus der Gruppe bestehend aus zylindrischer Bronchiektasie;
sackförmiger Bronchiektasie; spindelförmiger Bronchiektasie; Bronchiolendilatation;
zystischer Bronchiektasie; Bronchiektasier ohne Auswurf; sowie follikulärer Bronchiektasie
ist;
jahreszeitlich bedingte allergische Rhinitis; perenniale allergische Rhinitis; oder
Sinusitis jeglicher Art, Ätiologie oder Pathogenese; oder Sinusitis, die ein Mitglied
ausgewählt aus der Gruppe bestehend aus eitriger oder nichteitriger Sinusitis; akuter
oder chronischer Sinusitis; Ethmoiditis, Stirnhöhlenentzündung, Kieferhöhlenentzündung
oder Sphenoiditis ist;
rheumatoide Arthritis jeglicher Art, Ätiologie oder Pathogenese; oder rheumatoide
Arthritis, die ein Mitglied ausgewählt aus der Gruppe bestehend aus akuter Arthritis;
akuter Gichtarthritis; primär-chronischer Polyarthritis; Osteoarthrose; Infektarthritis;
Lyme-Arthritis; progredienter Arthritis; Arthritis psoriatica; sowie Spondylarthritis
ist;
Gicht sowie mit Entzündung assoziiertes Fieber bzw. mit Entzündung assoziierter Schmerz;
eine mit Eosinophilen in Zusammenhang stehende krankhafte Störung jeglicher Art,
Ätiologie oder Pathogenese; oder eine mit Eosinophilen in Zusammenhang stehende krankhafte
Störung, die ein Mitglied ausgewählt aus der Gruppe bestehend aus Eosinophilie; eosinophilem
Lungeninfiltrat; Löffler-Syndrom; chronischer eosinophiler Pneumonie; tropischer Lungeneosinophilie;
bronchopneumonischer Aspergillose;
Aspergillom; eosinophilem Granulom; allergischer granulomatöser Angiitis bzw.
Churg-Strauss-Syndrom; Polyarteritis nodosa (PAN); sowie systemischer Vasculitis necroticans
ist;
atopische Dermatitis; allergische Dermatitis; oder allergisches oder atopisches Ekzem;
Nesselsucht jeglicher Art, Ätiologie oder Pathogenese; oder Nesselsucht, die ein Mitglied
ausgewählt aus der Gruppe bestehend aus immunbedingter Nesselsucht;
Komplement-bedingter Nesselsucht; durch Nesselsucht auslösendes Material induzierter
Nesselsucht; durch physikalische Reize ausgelöster Nesselsucht; durch Streß ausgelöster
Nesselsucht; idiopatischer Nesselsucht; akuter Nesselsucht; chronischer Nesselsucht;
angioneurotischem Ödem; Urticaria cholinergica; Kälteurtikaria in ihrer autosomal-dominanten
Form oder in ihrer erworbenen Form; Kontakturtikaria;
Urticaria gigantea sowie Papelurtikaria ist;
Konjunktivitis jeglicher Art, Ätiologie oder Pathogenese; oder Konjunktivitis, die
ein Mitglied ausgewählt aus der Gruppe bestehend aus Conjunctivitis actinica; akuter
katarrhalischer Konjunktivitis; akuter contagiöser Konjunktivitis; allergischer Konjunktivitis;
atopischer Konjunktivitis; chronischer katarrhalischer Konjunktivitis; eitriger Konjunktivitis
sowie Frühjahrskonjunktivitis ist;
Uveitis jeglicher Art, Ätiologie oder Pathogenese oder Uveitis, die ein Mitglied ausgewählt
aus der Gruppe bestehend aus Entzündung der ganzen Uvea oder eines Teils davon; Uveitis
anterior; Iritis; Cyclitis; Iridocyclitis; granulomatöser Uveitis; nichtgranulomatöser
Uveitis; phakoantigener Uveitis; Uveitis posterior; Choroiditis sowie Choriorethinitis
ist;
Schuppenflechte;
multiple Sklerose jeglicher Art, Ätiologie oder Pathogenese; oder multiple Sklerose,
die ein Mitglied ausgewählt aus der Gruppe bestehend aus primär progredienter multipler
Sklerose sowie multipler Sklerose mit schubweisem Verlauf und Neigung zu Remissionen
ist;
Autoimmun-/Entzündungserkrankungen jeglicher Art, Ätiologie oder Pathogenese;
oder eine Autoimmun-/Entzündungserkrankung, die ein Mitglied ausgewählt aus der Gruppe
bestehend aus autoimmunhämatologischen Störungen; hämolytischer Anämie; aplastischer
Anämie; aregenerativer Anämie; idiopatischer thrombozytopener Purpura; systemischer
Lupus erythematosus; Polychondritis; Skleroderm;
Wegener-Granulomatose; Lichtkrankheit; chronisch-aktiver Hepatitis; Myasthenia gravis;
Stevens-Johnson-Syndrom; idiopathischer Sprue; Autoimmun-Reizkolonerkrankungen; Colitis
ulcerosa; Morbus Crohn; endokriner Opthamopathie; Basedow-Krankheit; Sarkoidose; Alveolitis;
chronischer Hypersensitivitätspneumonitis; primär biliärer Zirrhose; Insulinmangeldiabetes
oder Typ 1 Diabetes mellitus; Uveitis anterior;
granulomatöser Uveitis oder Uveitis posterior; Keratoconjunctivitis sicca; Keratoconjunctivitis
epidemica; (diffuser) interstitieller Lungenfibrose; Lungenzirrhose;
Mukoviszidose; Arthritis psoriatica; Glomerulonephritis mit und ohne Nephrose;
akuter Glomerulonephritis; idiopathischer Nephrose; Minimal-Change-Nephropathie;
entzündlichen/hyperproliferativen Hauterkrankungen; Schuppenflechte; atopischer Dermatitis;
Kontaktdermatitis; allergischer Kontaktdermatitis; familiärem gutartigem Pemphigus;
Pemphigus erythematosus; Pemphigus foliaceus sowie Pemphigus vulgaris ist;
Vorbeugung einer Fremdtransplantatabstoßung nach Organtransplantation;
Reizdarm (inflammatory bowel disease; IBD) jeglicher Art, Ätiologie oder Pathogenese;
oder Reizdarm, der ein Mitglied ausgewählt aus der Gruppe bestehend aus ulzerativer
Kolitis (UC); kollagenöser Kolitis; Colitis polyposa; transmuraler Kolitis sowie Morbus
Crohn (CD) ist;
septischer Schock jeglicher Art, Ätiologie oder Pathogenese; oder septischer Schock,
der ein Mitglied ausgewählt aus der Gruppe bestehend aus Nierenversagen; akutem Nierenversagen;
Kachexie; Malariakachexie; hypophysärer Kachexie; uremämischer Kachexie; Herzkachexie;
Cachexia suprarenalis bzw. Addison-Krankheit; karzinomatöser Kachexie sowie Kachexie
auf Grund von Infektion durch Human Immunodeficiency Virus (HIV) ist;
Leberschädigung;
pulmonaler Hochdruck sowie durch Sauerstoffmangel hervorgerufener pulmonaler Hochdruck;
Knochenschwunderkrankungen; primäre Osteoporose und sekundäre Osteoporose;
krankhafte Störungen des Zentralnervensystems jeglicher Art, Ätiologie oder Pathogenese;
oder eine krankhafte Störung des Zentralnervensystems, die ein Mitglied ausgewählt
aus der Gruppe bestehend aus Depression; Morbus Parkinson; Lern- und
Gedächtnisstörungen; tardiver Dyskinesie; Drogenabhängigkeit; arteriosklerotischer
Demenz; sowie Demenz als Begleiterscheinung von Chorea Huntington, Morbus Wilson,
Paralysis agitans sowie Thalamusatrophien; Infektionen; insbesondere Virusinfektionen
ist, wobei diese Viren die Produktion von TNF-α in ihrem Wirt erhöhen oder wobei diese
Viren gegenüber Hinaufregulierung von TNF-α in ihrem Wirt empfindlich sind; so daß
ihre Replikation oder andere wichtigen Aktivitäten behindert werden, darunter Viren
ausgewählt aus der Gruppe HIV-1, HIV-2 und HIV-3; Zytomegalievirus, CMV; Grippe; Adenoviren
und Herpesviren, darunter Herpes zoster und
Herpes simplex;
Hefe- und Pilzinfektionen, wobei diese Hefen und Pilze gegenüber Hinaufregulierung
durch TNF-α empfindlich sind oder die TNF-α-Produktion in ihrem Wirt auslösen, z.B.
Pilzmeningitis; insbesondere bei gemeinsamer Verabreichung mit anderen Arzneistoffen
der Wahl zur Behandlung systemischer Hefe- und Pilzinfektionen, darunter den Polymycinen,
z.B. Polymycin B, Imidazolen, z.B. Clotrimazol, Econazol, Miconazol und Ketoconazol;
den Triazolen, z.B. Fluconazol und Itranazol; sowie den Amphotericinen, z.B. Amphotericin
B und liposomales Amphotericin B, was jedoch keine Einschränkung darstellen soll.
Ischämie-Reperfusionsschädigung; Autoimmundiabetes; retinale Autoimmunität;
chronische lymphozytische Leukämie; HIV-Infektionen; Lupus erythematosus;
Nieren- und Harnleitererkrankungen; krankhafte Urogenital- und Gastrointestinalstörungen;
sowie Prostataerkrankungen.
22. Kombination einer Verbindung wie in einem oder mehreren der Ansprüche 1 bis 6 definiert
und/oder ihrer physiologisch unbedenklichen Salze und/oder Solvate zusammen mit einem
oder mehreren Mitgliedern ausgewählt aus der Gruppe der folgenden:
(a) Leukotrien-Biosyntheseinhibitoren, 5-Lipoxygenase (5-LO)-Inhibitoren und Antagonisten
des 5-Lipoxygenase-aktivierenden Proteins (FLAP) ausgewählt aus der Gruppe bestehend
aus Zileuton; ABT-761; Fenleuton; Tepoxalin; Abbott-79175; Abbott-85761; N-(5-substituierten) Thiophen-2-alkylsulfonamide; 2;6-di-tert.-Butyl-phenolhydrazone; Zeneca ZD-2138; SB-210661; der pyridinylsubstituierten 2-Cyannaphthalinverbindung
L-739;010; der 2-Cyanchinolinverbindung L-746;530; der Indol- und Chinolinverbindungen
MK-591, MK-886 und BAY x 1005;
(b) Rezeptorantagonisten für die Leukotriene LTB4, LTC4, LTD4 und LTE4 ausgewählt aus der Gruppe bestehend aus der Phenothiazin-3-on-Verbindung L-651;392;
der Amidinoverbindung CGS-25019c; der Benzoxazolaminverbindung Ontazolast; der Benzolcarboximidamidverbindung
BIIL 284/260; den Verbindungen Zafirlukast, Ablukast, Montelukast, Pranlukast, Verlukast
(MK-679), RG-12525, Ro-245913, Iralukast (CGP 45715A) und BAY x 7195;
(c) PDE IV-Inhibitoren;
(d) 5-Lipoxygenase (5-LO)-Inhibitoren; und Antagonisten des 5-Lipoxygenase-aktivierenden
Proteins (FLAP);
(e) Doppelinhibitoren der 5-Lipoxygenase (5-LO) und Antagonisten des blutplättchenaktivierenden
Faktors (platelet activating factor PAF);
(f) Leukotrienantagonisten (LTRAs) von LTB4, LTC4, LTD4 und LTE4;
(g) Antihistamin-H1-Rezeptorantagonisten Cetirizin, Loratadin, Desloratadin, Fexofenadin, Astemizol,
Azelastin und Chlorpheniramin;
(h) gastroprotektive H2-Rezeptorantagonisten;
(i) oral oder topisch verabreichte α1- und α2-Adrenorezeptor-Agonist-Vasokonstriktor-Sympathomimetika zur Schleimhautabschwellung
ausgewählt aus der Gruppe bestehend aus Propylhexedrin, Phenylephrin, Phenylpropanolamin,
Pseudoephedrin, Naphazolinhydrochlorid, Oxymetazolinhydrochlorid, Tetrahydrozolinhydrochlorid,
Xylometazolinhydrochlorid sowie Ethylnorepinephrinhydrochlorid;
(j) ein oder mehrere α1- und α2-Adrenorezeptoragonisten wie oben unter (i) aufgezählt in Kombination mit einem oder
mehreren Inhibitoren der 5-Lipoxygenase (5-LO) wie oben unter (a) aufgezählt;
(k) die Anticholinergika Ipratropiumbromid; Tiotropiumbromid; Oxitropiumbromid; Pirenzepin;
sowie Telenzepin;
(l) β1- bis β4-Adrenorezeptoragonisten ausgewählt aus der Gruppe bestehend aus Metaproterenol, Isoproterenol,
Isoprenalin, Albuterol, Salbutamol, Formoterol, Salmeterol, Terbutalin, Orciprenalin,
Bitolterol und Pirbuterol;
(m) Theophyllin und Aminophyllin;
(n) Natriumcromoglycat;
(o) Muscarinreceptor (M1, M2 und M3)-Antagonisten;
(p) COX-1-Inhibitoren (NSAIDs); sowie Stickoxid-NSAIDs;
(q) der COX-2-selektive Inhibitoren Rofecoxib;
(r) Mimetika des insulinähnlichen Wachstumsfaktors Typ I (IGF-1);
(s) Ciclesonid;
(t) Inhalations-Glucokortikoide mit verringerten systemischen Nebenwirkungen ausgewählt
aus der Gruppe bestehend aus Prednison, Prednisolon, Flunisolid, Triamcinolonacetonid,
Beclomethasondipropionat, Budesonid, Fluticasonpropionat sowie Mometasonfuroat;
(u) Tryptaseinhibitoren;
(v) Antagonisten des blutplättchenaktivierenden Faktors (PAF);
(w) monoklonale Antikörper gegen endogene entzündliche Körper;
(x) IPL 576;
(y) Anti-Tumor Nekrose Faktor (TNFα)-Mittel ausgewählt aus der Gruppe bestehend aus
Etanercept, Infliximab und D2E7;
(z) DMARDs ausgewählt aus der Gruppe Leflunomid;
(aa) TCR-Peptide;
(bb) Inhibitoren des interleukinumwandelnden Enzyms (interleukin converting enzyme,
ICE);
(cc) IMPDH-Inhibitoren;
(dd) Adhäsionsmolekülinhibitoren, darunter VLA-4-Antagonisten;
(ee) Kathepsine;
(ff) MAP-Kinaseinhibitoren;
(gg) Glucose-6-phosphat-dehydrogenase-Inhibitoren;
(hh) Kinin-B1- und -B2-Rezeptor-Antagonisten;
(ii) Gold in Form einer Aurothiogruppe zusammen mit hydrophilen Gruppen;
(jj) Immunosuppressiva ausgewählt aus der Gruppe bestehend aus Cyclosporin, Azathioprin
und Methotrexat;
(kk) Mittel gegen Gicht ausgewählt aus der Gruppe bestehend aus Kolchizine;
(ll) Xanthinoxidaseinhibitoren ausgewählt aus der Gruppe bestehend aus Allopurinol;
(mm) Urikosurika ausgewählt aus der Gruppe bestehend aus Probenecid, Sulfinpyrazon
und Benzbromaron;
(nn) Antineoplastica, bei denen es sich um antimitotische Arzneistoffe ausgewählt
aus der Gruppe bestehend aus Vinblastin und Vincristin handelt;
(oo) Mittel zur Förderung der Wachstumshormonsekretion;
(pp) Inhibitoren der Matrixmetalloproteasen (MMPs) ausgewählt aus der Gruppe bestehend
aus Stromelysine, Kollagenasen, Gelatinasen, Aggrecanase, Kollagenase-1 (MMP-1), Kollagenase-2
(MMP-8), Kollagenase-3 (MMP-13), Stromelysin-1 (MMP-3), Stromelysin-2 (MMP-10) und
Stromelysin-3 (MMP-11);
(qq) "transforming growth factor" (TGFβ);
(rr) "platelet-derived growth factor" (PDGF);
(ss) Fibroblasten-Wachstumsfaktor ausgewählt aus der Gruppe bestehend aus"basic fibroblast
growth factor" (bFGF);
(tt) "granulocyte macrophage colony stimulating factor" (GM-CSF);
(uu) Capsaicin;
(w) Tachykinin-NK1- und -NK3-Rezeptor-Antagonisten ausgewählt aus der Gruppe bestehend aus NKP-608C; SB233412
(Talnetant) und D-4418;
(ww) Elastaseinhibitoren ausgewählt aus der Gruppe bestehend aus UT-77 und ZD-0892;
sowie
(xx) Adenosin-A2a-Rezeptoragonisten.
23. Set (Kit) bestehend aus getrennten Packungen mit
(a) einer effektiven Menge einer Verbindung der Formel I nach einem oder mehreren
der Ansprüche 1 bis 6 und/oder ihrer Salze, Solvate und Stereoisomere, einschließlich
deren Mischungen in allen Verhältnissen,
und
(b) einer effektiven Menge eines weiteren Arzneimittelwirkstoffs.
1. Composés de formule I

dans laquelle
R1 et R2 sont chacun, indépendamment l'un de l'autre, H, OH, OR4, SR4, SOR4, SO2R4 ou Hal, où R1 et R2 peuvent être ensemble, de manière alternative, -O-CH2-O-,
R3 est Hal, OH, OA, NO2, NH2, NHA1, NA1A2, CN, COOH, COOA1, CONH2, CONHA1, CONA1A2, NHCOA1, NHSO2A1, NHCOOA1,


ou

R4 est A1, cycloalkyle ayant de 3 à 7 atomes de carbone, alkylènecycloalkyle ayant de 4 à 8
atomes de carbone ou alcényle ayant de 2 à 8 atomes de carbone,
A1 et A2 sont chacun, indépendamment l'un de l'autre, alkyle ayant de 1 à 12 atomes de car-
bone, pouvant être substitués par de 1 à 5 atomes de F et/ou Cl ou des groupements
OH, où A1 et A2 peuvent être ensemble, de manière alternative, cycloalkyle ou cyclo- alkylène ayant
de 3 à 7 chaînons, où un ou plusieurs groupements CH2 peuvent être remplacés par -S-, -O-, -NH-, -NA1-, -NCOA1- ou -NCOOA1-,
X est H ou Hal,
Hal est F, CI, Br ou I et
Q est alkyle ou alcényle ayant de 1 à 15 atomes de carbone, où de 1 à 5 groupements
-CH2- peuvent être remplacés par -O-, -S-, -SO2-, -CH(Hal)-, -C(Hal)2-, -CHA1-, -CA1A2-, -NH- ou -NA1-,
et des sels et solvats de ceux-ci.
2. Composés de formule I selon la revendication 1, caractérisés en ce que R1 et R2 sont chacun, indépendamment l'un de l'autre, méthoxy, éthoxy, propoxy, cyclopentoxy,
fluoro-, difluoro- ou trifluorométhoxy, ou 1-fluoro-, 2-fluoro-, 1,2-difluoro-, 2,2-difluoro-,
1,2,2-trifluoro- ou 2,2,2-trifluoroéthoxy.
3. Composés de formule I selon l'une ou plusieurs parmi les revendications précédentes,
caractérisés en ce que A1 et A2 sont chacun, indépendamment l'un de l'autre, alkyle ayant de 1 à 12 atomes de carbone,
alkyle ayant de 1 à 10 atomes de carbone qui est substitué par de 1 à 5 atomes de
fluor et/ou de chlore, ou sont ensemble, de manière alternative, cycloalkyle ayant
de 3 à 7 atomes de carbone.
4. Composés de formule I selon l'une ou plusieurs parmi les revendications précédentes,
caractérisés en ce que Q est alkylène ayant de 1 à 10 atomes de carbone, où de 1 à 3 atomes de carbone peuvent
être remplacés par -O-, -NH- ou -NA1-, et A1 est tel que défini selon la revendication 1.
5. Composés de formule I selon l'une ou plusieurs parmi les revendications précédentes,
caractérisés en ce que R
3 est de préférence A
1, F, CI, Br ou I, hydroxyle, NH
2, O-alkyle, NO
2, alkylamino, cycloalkylamino, dialkylamino, ou

où alkyle a de 1 à 10 atomes de carbone et cycloalkyle a de 3 à 7 atomes de carbone,
et A
1 est tel que défini selon la revendication 1.
7. Procédé de préparation de composés de formule I et de sels et solvats de ceux-ci,
caractérisé en ce qu'un composé de formule II

dans laquelle
R1 et R2 sont tels que définis selon la revendication 1,
est réagi avec un composé de formule III

dans laquelle
R3 et Q sont tels que définis selon la revendication 1, et
L est CI, Br, OH ou un groupement OH estérifié réactif,
ou
en ce qu'un composé de formule IV

dans laquelle X, R
1 et R
2 sont tels que définis selon la revendication 1, est réagi avec un composé de formule
V
L-Q-R
3 V
dans laquelle
Q et R3 sont tels que définis selon la revendication 1, et
L est CI, Br, OH ou un groupement OH estérifié réactif,
et/ou
en ce qu'un composé basique de formule I est converti en l'un de ses sels par un traitement
par un acide.
8. Composés de formule IV

dans laquelle X, R
1 et R
2 sont tels que définis selon la revendication 1.
9. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament.
10. Préparation pharmaceutique caractérisée par une teneur en au moins un composé de formule I selon l'une ou plusieurs parmi les
revendications 1 à 6 et/ou en l'un de ses sels physiologiquement acceptables et/ou
en l'un de ses solvats.
11. Procédé de préparation de préparations pharmaceutiques, caractérisé en ce qu'au moins un composé de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou l'un de ses sels physiologiquement acceptables et/ou l'un de ses solvats
est mis sous une forme de dosage convenable conjointement avec un excipient ou auxiliaire
solide, liquide ou semi-liquide.
12. Composés de formule I selon l'une ou plusieurs parmi les revendications 1 à 6 et sels
physiologiquement acceptables et/ou solvats de ceux-ci pour lutter contre les maladies
allergiques, l'asthme, la bronchite chronique, la dermite atopique, le psoriasis et
d'autres maladies de la peau, les troubles inflammatoires, les maladies auto-immunes,
telles que, par exemple, la polyarthrite rhumatoïde, la sclérose en plaques, la maladie
de Crohn, le diabète sucré ou la rectocolite hémorragique, l'ostéoporose, les réactions
de rejet de greffe, la cachexie, la croissance tumorale ou les métastases tumorales,
la sepsie, les troubles de la mémoire, l'athérosclérose et le SIDA.
13. Utilisation de composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour la
préparation d'un médicament destiné au traitement et à la prophylaxie de maladies
allergiques, de l'asthme, de la bronchite chronique, de la dermite atopique, du psoriasis
et d'autres maladies de la peau, des troubles inflammatoires, des maladies auto-immunes,
telles que, par exemple, la polyarthrite rhumatoïde, la sclérose en plaques, la maladie
de Crohn, le diabète sucré ou la rectocolite hémorragique, de l'ostéoporose, des réactions
de rejet de greffe, de la cachexie, de la croissance tumorale ou des métastases tumorales,
de la sepsie, des troubles de la mémoire, de l'athérosclérose et du SIDA.
14. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné au traitement et à la prophylaxie de maladies
myocardiques.
15. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné au traitement et à la prophylaxie de maladies
myocardiques ayant des caractéristiques inflammatoires et/ou immunologiques.
16. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné au traitement et à la prophylaxie de la maladie
coronarienne, des lésions de reperfusion/ischémie myocardique réversible ou irréversible,
de l'insuffisance cardiaque aiguë ou chronique et de la resténose, y compris la resténose
intra-stent et la resténose stent-dans-stent.
17. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné au traitement et à la prophylaxie du remodelage
ventriculaire post-infarctus ou de l'insuffisance cardiaque congestive de gravité
variable.
18. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné à traiter un sujet souffrant d'une maladie
ou condition médiée par l'isozyme PDE IV dans son rôle de régulation de l'activation
et de la dégranulation d'éosinophiles humains.
19. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné au traitement et à la prophylaxie de maladies
qui sont provoquées par une production excessive de macrophages et de lymphocytes
T et/ou qui peuvent être influencées par une réduction de la production de macrophages
et de lymphocytes T.
20. Utilisation des composés de formule I selon l'une ou plusieurs parmi les revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour
la préparation d'un médicament destiné au traitement et à la prophylaxie de maladies
qui sont provoquées par une prolifération excessive des lymphocytes T et/ou qui peuvent
être influencées par une inhibition de la prolifération des lymphocytes T.
21. Utilisation de composés de formule I selon au moins l'une des revendications 1 à 6
et/ou de sels physiologiquement acceptables et/ou de solvats de ceux-ci pour la préparation
d'un médicament destiné au traitement ou à la prévention d'un ou plusieurs éléments
choisis parmi le groupe des maladies, des troubles et des conditions constitué par
:
l'asthme de tout type, toute étiologie ou toute pathogenèse ; ou l'asthme qui est
un élément choisi parmi le groupe comprenant l'asthme atopique ; l'asthme non atopique
; l'asthme allergique ; l'asthme favorisé par IgE bronchial atopique ; l'asthme bronchial
; l'asthme essentiel ; l'asthme vrai ; l'asthme intrinsèque généré par des perturbations
pathophysiologiques ; l'asthme extrinsèque généré par des facteurs environnementaux
; l'asthme essentiel de cause inconnue ou inapparente ; l'asthme non atopique ; l'asthme
bronchitique ; l'asthme emphysémateux ; l'asthme induit par l'exercice ; l'asthme
professionnel ; l'asthme infectieux-allergique généré par une infection bactérienne,
fongique, protozoale ou virale ; l'asthme non allergique ; l'asthme incipiens ; le
syndrome du petit enfant asthmatique ;
la bronchoconstriction chronique ou aiguë ; la bronchite chronique ; une obstruction
légère des voies aériennes ; et l'emphysème ;
la maladie obstructrice ou inflammatoire des voies aériennes de tout type, toute étiologie
ou toute pathogénèse ; ou une maladie obstructrice ou inflammatoire des voies aériennes
qui est un élément choisi parmi le groupe comprenant l'asthme ; la pneumoconiose ;
la pneumonie éosinophilique chronique ; la maladie pulmonaire obstructrice chronique
(COPD) ; la COPD qui inclut la bronchite chronique, l'emphysème pulmonaire ou la dyspnée
associée ; la COPD qui est caractérisée par une obstruction progressive irréversible des voies aériennes ; le syndrome de détresse
respiratoire de l'adulte (ARDS) et une exacerbation d'une hyperactivité des voies
aériennes en tant que résultat d'une thérapie avec d'autres médicaments ;
la pneumoconiose de tout type, toute étiologie ou toute pathogenèse ; ou la pneumoconiose
qui est un élément choisi parmi le groupe comprenant l'aluminose ou la maladie des
travailleurs de la bauxite ; l'anthracose ou l'asthme des mineurs ; l'amiantose ou
l'asthme des filtres à vapeur ; la silicose ou la maladie de flint ; la trichoptilose
générée par l'inhalation de poussières issues de plumes d'autruches ; la sidérose
générée par l'inhalation de particules de fer ; la silicose ou la maladie des meuleurs
; la byssinose ou l'asthme de la poussière de coton ; et la pneumoconiose du talc
;
la bronchite de tout type, toute étiologie ou toute pathogenèse ; ou la bronchite
qui est un élément choisi parmi le groupe comprenant la bronchite aiguë ; la bronchite
laryngotrachéale aiguë ; la bronchite arachidique ; la bronchique catarrhale ; la
bronchite croupus ; la bronchite sèche ; la bronchite asthmatique infectieuse ; la
bronchite productive ; la bronchite à staphylocoque ou streptocoque ; et la bronchopneumonie
;
la bronchectasie de tout type, toute étiologie ou toute pathogenèse ; ou la bronchectasie
qui est un élément choisi parmi le groupe comprenant la bronchectasie cylindrique
; la bronchectasie sacculaire ; la bronchectasie fusocellulaire ; la bronchectasie
capillaire ; la bronchectasie cystique ; la bronchectasie sèche ; et la bronchectasie
folliculaire ;
la rhinite allergique saisonnière ; ou la rhinite allergique apériodique ; ou la sinusite
de tout type, toute étiologie ou toute pathogénèse ; ou la sinusite qui est un élément
choisi parmi le groupe comprenant la sinusite purulente ou non purulente ; la sinusite
aiguë ou chronique ; et la sinusite ethmoïde, frontale, maxillaire ou sphénoïde ;
l'arthrite rhumatoïde de tout type, toute étiologie ou toute pathogénèse ; ou l'arthrite
rhumatoïde qui est un élément choisi parmi le groupe comprenant l'arthrite aiguë ;
l'arthrite goutteuse aiguë ; la polyarthrite chronique primaire ; l'ostéoarthrite
; l'arthrite infectieuse ; l'arthrite de Lyme ; l'arthrite progressive; l'arthrite
psoriatique ; et l'arthrite vertébrale ;
la goutte ainsi que la fièvre et la douleur associées à une inflammation ;
un trouble pathologique rapporté à l'éosinophile de tout type, toute étiologie ou
toute pathogénèse ; ou un trouble rapporté à l'éosinophile qui est un élément choisi
parmi le groupe comprenant l'éosinophilie ; l'éosinophilie par infiltration pulmonaire
; le syndrome de Loffier ; la pneumonie éosinophilique chronique ; l'éosinophilie
pulmonaire tropicale ; l'aspergillose bronchopneumonique ; l'aspergillome ; les granulomes
éosinophiliques ; l'angéite granulomateuse allergique ou le syndrome de Churg-Strauss
;
la polyartérite noueuse (PAN) ; et l'angéite nécrosante systémique ;
la dermatite atopique ; ou la dermatite allergique ; ou l'eczéma allergique ou atopique
;
l'urticaire de tout type, toute étiologie ou toute pathogénèse ; ou l'urticaire qui
est un élément choisi parmi le groupe comprenant l'urticaire immunofavorisée ; l'urticaire
favorisée par complément ; l'urticaire induite par des matériaux urticariogéniques
;
l'urticaire induite par agent physique ; l'urticaire induite par stress ; l'urticaire
idiopathique ; l'urticaire aiguë ; l'urticaire chronique ; l'oedème angioneurotique
; l'urticaire cholinergique ; l'urticaire au froid sous la forme dominante autosomique
ou sous la forme acquise ; l'urticaire par contact ; l'urticaire géante ; et l'urticaire
papuleuse ;
la conjonctivite de tout type, toute étiologie ou toute pathogénèse ; ou la conjonctivite
qui est un élément choisi parmi le groupe comprenant la conjonctivite actinique, la
conjonctivite catarrhale aiguë ; la conjonctivite contagieuse aiguë ; la conjonctivite
allergique ; la conjonctivite atopique ; la conjonctivite catarrhale chronique ; la
conjonctivite purulente ; et la conjonctivite printanière ;
l'uvéite de tout type, toute étiologie ou toute pathogénèse ; ou l'uvéite qui est
un élément choisi parmi le groupe comprenant l'inflammation de la totalité ou d'une
partie de l'uvée ; l'uvéite antérieure ; l'iritis ; la cyclite ; l'iridocyclite ;
l'uvéite granulomateuse ; l'uvéite non granulomateuse ; l'uvéite phacoantigénique
; l'uvéite postérieure ;
la choroïdite ; et la choriorétinite ;
le psoriasis ;
la sclérose en plaques de tout type, toute étiologie ou toute pathogénèse ; ou la
sclérose en plaques qui est un élément choisi parmi le groupe comprenant la sclérose
en plaques progressive primitive ; et la sclérose en plaques cyclique ;
les maladies auto-immunes/inflammatoires de tout type, toute étiologie ou toute pathogénèse
; ou une maladie auto-immune/inflammatoire qui est un élément choisi parmi le groupe
comprenant des troubles hématologiques auto-immunes ; l'anémie hémolytique ; l'anémie
aplastique ; l'anémie arégénérative ; la purpura thrombopénique idiopathique ; le
Lupus Erythematosus systémique; la polychondrite ; la sclérodermie ; la granulomatose
de Wegner ; la dermatomyosite ; l'hépatite active chronique ; la myasthénie gravis
; le syndrome de Stevens-Johnson ; la sprue idiopathique ; les maladies inflammatoires
auto-immunes de l'intestin ; la recto-colite hémorragique ; la maladie de Crohn ;
l'ophthalmopathie endocrine ; la maladie de Basedow ;
la sarcoïdose ; l'alvéolite ; la pneumonite à hypersensibilité chronique ; la cirrhose
biliaire primitive ; le diabète juvénile ou le diabète sucré de type 1; l'uvéite antérieure
;
l'uvéite granulomateuse ou postérieure ; la kératoconjonctivite sèche ; la kératoconjonctivite
épidémique ; la fibrose pulmonaire interstitielle diffuse ou la fibrose des poumons
interstitielle (diffuse) ; la cirrhose pulmonaire ; la fibrose cystique ; l'arthrite
psoriatique ; la glomérulonéphrite avec et sans syndrome néphrotique ; la glomérulonéphrite
aiguë ; le syndrome néphrotique idiopathique ; la néphropathie à variation minimum,
les maladies de la peau inflammatoires/hyperprolifératives ; le psoriasis ; la dermatite
atopique ; la dermatite par contact ; la dermatite par contact allergique ; le pemphigus
familial bénin ; le Pemphigus Erythematosus ; le Pemphigus Foliaceus ; et
le Pemphigus Vulgaris ;
la prévention du rejet de transplant étranger suite à une transplantation d'organe
;
une affection abdominale inflammatoire (IBD) de tout type, toute étiologie ou toute
pathogénèse ; ou une affection abdominale inflammatoire qui est un élément choisi
parmi le groupe comprenant la recto-colite hémorragique (UC) ; la colite collagène
; la colite polypose ; la colite transmurale ; et la maladie de Crohn (CD) ;
un choc septique de tout type, toute étiologie ou toute pathogénèse ; ou un choc septique
qui est un élément choisi parmi le groupe comprenant une insuffisance rénale ;
l'insuffisance rénale aiguë ; le marasme ; le marasme paludéen ; le marasme hypophysique
; le marasme urémique ; le marasme cardiaque ; le marasme suprarénal ou
la maladie d'Addison ; le marasme cancéreux ; et le marasme en tant que conséquence
d'une infection par le virus immunodéficitaire humain (VIH) ;
un endommagement du foie ;
une hypertension pulmonaire ; et une hypertension pulmonaire induite par hypoxie ;
les maladies de perte osseuse ; l'ostéoporose primitive ; et l'ostéoporose secondaire
;
les troubles pathologiques du système nerveux central de tout type, toute étiologie
ou
toute pathogénèse ; ou un trouble pathologique du système nerveux central qui est
un élément choisi parmi le groupe comprenant une dépression ; la maladie de Parkinson
; une altération de l'apprentissage et de la mémoire ; la dyskinésie tardive ; la
dépendance aux médicaments ; la démence artériosclérotique ; et les démences qui accompagnent
la chorée de Huntington, la maladie de Wilson, la paralysie agitante et
les atrophies thalamiques ;
une infection, tout particulièrement une infection due à des virus selon laquelle
ces virus augmentent la production de TNF-α dans leurs hôtes ou selon laquelle ces
virus sont sensibles à une régulation à la hausse de TNF-α dans leurs hôtes de telle
sorte que leur réplication ou leurs autres activités vitales subissent un impact défavorable,
incluant un virus qui est un élément choisi parmi le groupe comprenant VIH-1, VIH-2
et VIH-3 ; le cytomégalovirus, soit CMV ; la grippe ; les adénovirus ; et les virus
de l'herpès, incluant le Herpes Zoster ou zona d'herpès et le Herpes Simplex ;
les infections dues aux levures et aux champignons où lesdites levures et lesdits
champignons sont sensibles à une régulation à la hausse par TNF-α ou élisent une production
de TNF-α au niveau de leurs hôtes, par exemple une méningite fongique ;
plus particulièrement lors d'une administration en conjonction avec d'autres médicaments
de choix pour le traitement des infections par levures et champignons systémiques
incluant, sans qu'on soit limité à cela, les polymycines, par exemple Polymycin B
; les imidazoles, par exemple clotrimazole, éconazole, miconazole et cétoconazole
; les triazoles, par exemple fluconazole et itranazole ; et les amphotéricines,
par exemple Amphotericin B et Amphotericin B liposomal ;
la blessure de l'ischémie-reperfusion ; les diabètes auto-immunes ; l'auto-immunité
rétinienne ; la leucémie lymphocytique chronique ; les infections VIH ; le Lupus Erythematosus
; une maladie du foie et de l'uretère ; les troubles pathologiques urogénitaux et
gastro-intestinaux ; et les maladies de la prostate.
22. Combinaison d'un composé tel que défini selon l'une ou plusieurs des revendications
1 à 6 et/ou de sels physiologiquement acceptables et/ou de solvats de celui-ci conjointement
avec un ou plusieurs éléments choisis parmi le groupe constitué de ce qui suit :
(a) des inhibiteurs de biosynthèse leucotriène, des inhibiteurs de 5-lipoxygénase
(5-LO) et des antagonistes de protéine d'activation de 5-lipoxygénase (FLAP) choisis
parmi le groupe comprenant zileuton ; ABT-761 ; fenleuton ; tepoxalin ; Abbott-79175
; Abbott-85761 ; N-(5-substitué)-thiophène-2-alkylsulfonamides ; hydrazones de 2,6-di-tert.-butylphénol ; Zenaca ZD-2138 ; SB-210661 ; composé de 2-cyanonaphthalène substitué
par pyridinyle L-739,010 ; composé de 2-cyanoquinoline L-746,530 ; des composés de
indole et quinoline MK-591, MK-886 et BAY x 1005 ;
(b) des antagonistes de récepteur pour leucotrines LTB4, LTC4, LTD4 et LTE4 choisis parmi le groupe comprenant un composé de phénothiazine-3-one L-651,392 ;
un composé amidino CGS-25019c ; un composé de benzoxazolamine ontazolast ; un composé
de benzènecarboximidamide BIIL 284/260 ; des composés zafirlukast, ablukast, montelukast,
pranlukast, verlukast (MK-679), RG-12525, Ro-245913, iralukast (CGP-45715A) et BAY
x 7195 ;
(c) des inhibiteurs de PDE IV ;
(d) des inhibiteurs de 5-lipoxygénase (5-LO) ; et des antagonistes de protéine d'activation
de 5-lipoxygénase (FLAP) ;
(e) des inhibiteurs doubles de 5-lipoxygénase (5-LO) et des antagonistes de facteur
d'activation de plaquettes (PAF) ;
(f) des antagonistes de leukotriène (des LTRA) de LTB4, LTC4, LTD4 et LTE4 ;
(g) cétirizine antagoniste de récepteur H1 antihistaminique, loratadine, desloratadine, fexofenadine, astemizole, azelastine
et chlorphéniramine ;
(h) des antagonistes de récepteur H2 gastroprotecteur ;
(i) des agents sympathomimétiques vasoconstricteurs agonistes de α1- et α2-adrénocepteurs administrés par voie orale ou de façon topique pour une utilisation
décongestive, choisis parmi le groupe comprenant propylhexédrine, phénylephrine, phénylepropanolamine,
pseudoéphédrine, naphazoline, hydrochlorure, hydrochlorure d'oxymétazoline, hydrochlorure
de tétrahydrozoline, hydrochlorure de xylométazoline et hydrochlorure d'éthylnorépinéphrine
;
(j) un ou plusieurs agonistes de α1- et α2-adrénocepteurs comme mentionné en (i) ci-avant en combinaison avec un ou plusieurs
inhibiteurs de 5-lipoygénase (5-LO) comme mentionné en (a) ci-avant ;
(k) des agents anticholinergiques que sont le bromure d'ipratropium ; le bromure de
tiotropium, le bromure d'oxytropium ; la pirenzépine ; et la télenzépine ;
(l) des agonistes de β1- à β2-adrénocepteurs choisis parmi le groupe comprenant métaprotérénol, isoprotérénol,
isoprénaline, albutérol, salbutamol, formotérol, salmétérol, terbutaline, orciprénaline,
bitoltérol et pirbutérol ;
(m) théophylline et aminophylline ;
(n) cromoglycate de sodium ;
(o) des antagonistes de récepteurs muscariniques (M1, M2 et M3) ;
(p) des inhibiteurs de COX-1 (des NSAID) ; et des NSAID d'oxyde nitrique ;
(q) un inhibiteur sélectif de COX-2 rofecoxib ;
(r) des mimétiques de facteur de croissance de type I similaires à l'insuline (IGF-1)
;
(s) ciclésonide ;
(t) des glucocorticoïdes inhalés avec effets secondaires systémiques réduits choisis
parmi le groupe comprenant prédnisone, prédnisolone, flunisolide, acétonide de triamcinolone,
dipropionate de beclométhasone, budésonide, propionate de fluticasone et furoate de
mométasone ;
(u) des inhibiteurs de tryptase ;
(v) des antagonistes de facteur d'activation de plaquettes (PAF) ;
(w) des anticorps monoclonaux actifs vis-à-vis d'entités inflammatoires endogènes
;
(x) IPL 576 ;
(y) des agents de facteur de nécrose anti-tumoral (TNFα) choisis parmi le groupe comprenant
étanercept, infliximab et D2E7 ;
(z) des DMARD choisis parmi le groupe constitué par leflunomide ;
(aa) des peptides TCR ;
(bb) des inhibiteurs d'enzyme de conversion interleukine (ICE) ;
(cc) des inhibiteurs de IMPDH ;
(dd) des inhibiteurs de molécule d'adhérence incluant des antagonistes de VLA-4 ;
(ee) des cathepsines ;
(ff) des inhibiteurs de kinase MAP ;
(gg) des inhibiteurs de déshydrogénase de phosphate de glucose-6 ;
(hh) des antagonistes de Kinin-B1- et B2-récepteurs ;
(ii) de l'or sous la forme d'un groupe aurothio en combinaison avec des groupes hydrophiles
;
(jj) des agents immunosuppresseurs choisis parmi le groupe comprenant cyclosporine,
azathioprine et méthotrexate ;
(kk) des agents anti-goutte choisis parmi le groupe comprenant des colchicines ;
(ll) de l'oxydase de xanthine choisie parmi le groupe comprenant allopurinol ;
(mm) des agents uricosuriques choisis parmi le groupe comprenant probénécide, sulfinpyrazone
et benzbromarone ;
(nn) des agents antinéoplastiques qui sont des médicaments antimitotiques choisis
parmi le groupe comprenant vinblastine et vincristine ;
(oo) des secrétagogues d'hormones de croissance ;
(pp) des inhibiteurs de métalloprotéases en matrice (MMP) qui sont choisis parmi le
groupe comprenant les stromélysines, les collagènes, les gélatinases, l'aggrécanase,
la collagénase -1 (MMP-1), la collagénase -2 (MMP-8), la collagénase -3 (MMP-13),
la stromélysine-1 (MMP-3), la stromélysine-2 (MMP-10) et la stromélysine-3 (MMP-11),
(qq) un facteur de croissance de transformation (TGFβ) ;
(rr) un facteur de croissance dérivé de plaquettes (PDGF) ;
(ss) un facteur de croissance de fibroblast choisi parmi le groupe comprenant un facteur
de croissance de fibroblast basique (bFGF) ;
(tt) un facteur de stimulation de colonie macrophage granulocyte (GM-CSF) ;
(uu) la capsaïcine ;
(w) des antagonistes de tachykinine NK1 et NK3 choisis parmi le groupe comprenant NKP-608C ; SB-233412 (talnetant) ; et D-4418 ;
(ww) des inhibiteurs d'élastases choisis parmi le groupe comprenant UT-77 et ZD-0892
;
et
(xx) des agonistes de récepteur d'adénosine A2a.
23. Ensemble (kit) constitué de conditionnements séparés
(a) d'une quantité efficace d'un composé de formule I selon l'une ou plusieurs parmi
les revendications 1 à 6 et/ou de ses sels, solvats et stéréoisomères, y compris des
mélanges de ceux-ci en toutes proportions,
et
(b) d'une quantité efficace d'un autre ingrédient actif médicamenteux.